NPIMap

County of Lake

A Medicare group practice based in Clearlake, CA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 2466495429), with 17 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2466495429The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
CA
Enrollments
1
Group size
12 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
O20050609001101 CA Part B Supplier - Clinic/Group Practice 1326252271

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 17

Clinicians who reassign their Medicare benefits to this group (16) or whom Care Compare lists as members (12).

Sources for this page