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
3476707514The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
LA
Enrollments
3
Group size
5 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 2 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
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 Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 5

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

Sources for this page