Odyssey House Louisiana, Inc

A Medicare group practice based in New Orleans, LA: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 5294917928), with 6 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5294917928The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
LA
Enrollments
3
Group size
4 cliniciansAs Care Compare reports it
Medicare assignment
May accept Medicare assignment
Practice locations
3In 1 place

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20110316000647 LA Part B Supplier - Clinic/Group Practice 1932578408
O20160210000234 LA Part A Provider - Federally Qualified Health Center (FQHC) 1932578408
O20220124001347 LA Part A Provider - Federally Qualified Health Center (FQHC) 1679132179

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

Clinicians 6

Clinicians who reassign their Medicare benefits to this group (6) or whom Care Compare lists as members (4).

Sources for this page