Lakeland Immediate Care Center

A Medicare group practice based in Cassopolis, MI: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 2264423771), with 39 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2264423771The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
MI
Enrollments
4
Group size
23 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
5In 3 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20040524000042 MI Part B Supplier - Clinic/Group Practice 1982677548
O20050921000214 MI Part A Provider - Federally Qualified Health Center (FQHC) 1982677548
O20140407000688 MI Part A Provider - Federally Qualified Health Center (FQHC) 1982677548
O20250801002361 MI Part A Provider - Federally Qualified Health Center (FQHC) 1881492338

NPIs in this group 3

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 39

Clinicians who reassign their Medicare benefits to this group (38) or whom Care Compare lists as members (23).

Sources for this page