Carlock Enterprises LLC
A Medicare group practice based in Otis, LA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 3476707514), with 5 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 3476707514
- Provider type
- Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
- Enrolled in
- LA
- Enrollments
- 3
- Group size
- 5 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 4
Enrollment records 3
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20141015000456 | LA | Part A Provider - Rural Health Clinic | 1649524257 |
| O20130125000277 | LA | Part B Supplier - Clinic/Group Practice | 1649524257 |
| O20180925002091 | LA | Part A Provider - Rural Health Clinic | 1437506474 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Carlock Enterprises LLC
- Primary Care Clinic/Center
- Otis, LA
- NPI 1437506474
-
Carlock Enterprises LLC
dba Carlock Family Medical Clinic
- Rural Health Clinic/Center
- Leesville, LA
- NPI 1649524257
Practice locations
- Leesville, LA2
- Otis, LA2
Clinicians 5
Clinicians who reassign their Medicare benefits to this group (5) or whom Care Compare lists as members (5).
-
Jennifer B Carlock, NP
- Nurse Practitioner
- Leesville, LA
- NPI 1164616553
-
Victor Vance Carlock, NP
- Nurse Practitioner
- Leesville, LA
- NPI 1396948402
-
Robyn Briscoe Dowdle, NP
- Gerontology Nurse Practitioner
- Leesville, LA
- NPI 1871046128
-
Robert Kenneth Lamme, M.D.
- Family Medicine Physician
- Leesville, LA
- NPI 1548422181
-
Andrea Wilson, FMP-C
- Family Nurse Practitioner
- Natchitoches, LA
- NPI 1831962901
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.