NPIMap

Pine Lake Health, LLC

A Medicare group practice based in Waverly, NE: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 1557372919), with 9 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1557372919The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
NE
Enrollments
1
Group size
4 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
2In 2 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20060522000133 NE Part B Supplier - Clinic/Group Practice 1417908666

NPIs in this group 2

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 9

Clinicians who reassign their Medicare benefits to this group (9) or whom Care Compare lists as members (4).

Sources for this page