NPIMap

Lake City Physical Therapy P a

A Medicare group practice based in Coeur D Alene, ID: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 3678465234), with 20 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3678465234The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
ID, WA
Enrollments
2
Group size
13 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
9In 8 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20040327000362 WA Part B Supplier - Clinic/Group Practice 1588810659
O20040503001343 ID Part B Supplier - Clinic/Group Practice 1952521411

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 20

Clinicians who reassign their Medicare benefits to this group (20) or whom Care Compare lists as members (13).

Sources for this page