NPIMap

Northern Lakes Surgery Center LLC

A Medicare group practice based in Moose Lake, MN: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 1850757311), with 12 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1850757311The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Ambulatory Surgical Center, Part B Supplier - Clinic/Group Practice
Enrolled in
MN
Enrollments
2
Group size
6 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
2In 1 place

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20230525002232 MN Part B Supplier - Ambulatory Surgical Center 1649922485
O20240723001683 MN Part B Supplier - Clinic/Group Practice 1942914049

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 12

Clinicians who reassign their Medicare benefits to this group (12) or whom Care Compare lists as members (6).

Sources for this page