NPIMap

Lighthouse Psychological Services Inc

A Medicare group practice based in Faribault, MN: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 3072948389), with 12 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3072948389The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
MN
Enrollments
1
Group size
7 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 3 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20200115000170 MN Part B Supplier - Clinic/Group Practice 1548428170

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 12

Clinicians who reassign their Medicare benefits to this group (12) or whom Care Compare lists as members (7).

Sources for this page