NPIMap

Lakeside North Family Medicine, LLC

A Medicare group practice based in Guntersville, AL: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 5395148530), with 7 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5395148530The 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
AL
Enrollments
2
Group size
5 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
2In 1 place

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20210726000838 AL Part B Supplier - Clinic/Group Practice 1245809896
O20220601000364 AL Part A Provider - Rural Health Clinic 1891430583

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 7

Clinicians who reassign their Medicare benefits to this group (7) or whom Care Compare lists as members (5).

Sources for this page