NPIMap

Imperial Calcasieu Human Services Authority

A Medicare group practice based in Lake Charles, LA: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 2860629839), with 33 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2860629839The 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
21 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
5In 5 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20131219000151 LA Part B Supplier - Clinic/Group Practice 1578601746

NPIs in this group 5

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 33

Clinicians who reassign their Medicare benefits to this group (33) or whom Care Compare lists as members (21).

Sources for this page