NPIMap

Grand Lake Mental Health Center, Inc.

A Medicare group practice based in Tulsa, OK: 45 NPIs enrolled under one PECOS associate control ID (PAC ID 4688711534), with 342 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4688711534The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
OK
Enrollments
1
Group size
121 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
25In 19 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20091026000174 OK Part B Supplier - Clinic/Group Practice 1497762520

NPIs in this group 45

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 342

Page 1 of 4

Clinicians who reassign their Medicare benefits to this group (341) or whom Care Compare lists as members (121).

Sources for this page