Great Lakes Orthopedics & Sports Medicine, PC

A Medicare group practice based in Saint John, IN: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 2062306384), with 8 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2062306384The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Also listed as
Great Lakes Orthopedics and Sports Medicine, PCName in Care Compare
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
IN
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
O20040209001009 IN Part B Supplier - Clinic/Group Practice 1669472270

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 8

Clinicians who reassign their Medicare benefits to this group (8) or whom Care Compare lists as members (4).

Sources for this page