Strawberry Patch Pediatrics LLC

A Medicare group practice based in Ponchatoula, LA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 5294160859), with 11 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5294160859The 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
2
Group size
5 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 2 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20200109000559 LA Part A Provider - Rural Health Clinic 1346895638
O20200124001188 LA Part B Supplier - Clinic/Group Practice 1346895638

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 11

Clinicians who reassign their Medicare benefits to this group (11) or whom Care Compare lists as members (5).

Sources for this page