Centerwell Senior Primary Care la PC

A Medicare group practice based in Shreveport, LA: 14 NPIs enrolled under one PECOS associate control ID (PAC ID 1951712280), with 60 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1951712280The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
LA
Enrollments
1
Group size
40 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
14In 13 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20210217000212 LA Part B Supplier - Clinic/Group Practice 1760005136

NPIs in this group 14

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 60

Clinicians who reassign their Medicare benefits to this group (60) or whom Care Compare lists as members (40).

Sources for this page