Mayo Clinic Health System-Lake City

A Medicare group practice based in Lake City, MN: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 1951213487), with 933 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1951213487The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Critical Access Hospital, Part A Provider - Skilled Nursing Facility, Part B Supplier - Clinic/Group Practice
Enrolled in
AZ, FL, MN, WI
Enrollments
7
Group size
70 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
18In 12 places

Enrollment records 7

Enrollment IDStateProvider typeNPI
O20181116001067 FL Part B Supplier - Clinic/Group Practice 1164463659
O20181015003066 AZ Part B Supplier - Clinic/Group Practice 1164463659
O20070711000490 MN Part A Provider - Critical Access Hospital 1538113022
O20070711000290 MN Part A Provider - Critical Access Hospital 1891710893
O20060705000003 WI Part B Supplier - Clinic/Group Practice 1164463659
O20031104000095 MN Part B Supplier - Clinic/Group Practice 1164463659
O20100901000268 MN Part A Provider - Skilled Nursing Facility 1831130319

NPIs in this group 4

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 933

Page 1 of 10

Clinicians who reassign their Medicare benefits to this group (933) or whom Care Compare lists as members (70).

Sources for this page