NPIMap

Green Clinic LLC

A Medicare group practice based in Ruston, LA: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 4789668831), with 44 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4789668831The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Multi-Specialty - Physician, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
LA
Enrollments
4
Group size
29 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
10In 3 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20100930073075 LA DME Supplier - Multi-Specialty - Physician 1831178755
O20040616000177 LA Part B Supplier - Clinic/Group Practice 1831178755
O20050920000235 LA Part B Supplier - Clinic/Group Practice 1891801601
O20190426001005 LA Part A Provider - Rural Health Clinic 1578021093

NPIs in this group 3

NPPES NPI Registry

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

Practice locations

Locations on the Medicare enrollment

Merit-based Incentive Payment System (MIPS)

Medicare Care Compare
Final score
0 of 100Reported as group, on the record of 5 clinicians in this group
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0
Final score
81.51 of 100Reported as apm, on the record of 49 clinicians in this group
Quality
60.04
Promoting interoperability
100
Improvement activities
40

Clinicians 44

Clinicians who reassign their Medicare benefits to this group (43) or whom Care Compare lists as members (29).

Sources for this page