NPIMap

Banner Lassen Medical Center

A Medicare group practice based in Susanville, CA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 2961312640), with 10 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2961312640The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Critical Access Hospital, Part B Supplier - Clinic/Group Practice
Enrolled in
CA
Enrollments
3
Group size
5 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
5In 1 place

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20030505000080 CA Part A Provider - Critical Access Hospital 1538197231
O20040126000635 CA Part B Supplier - Clinic/Group Practice 1538197231
O20220803001267 CA Part A Provider - Critical Access Hospital 1922334846

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 10

Clinicians who reassign their Medicare benefits to this group (10) or whom Care Compare lists as members (5).

Sources for this page