Kenneth G. Lawlor, DO, PLLC

A Medicare group practice based in Lakeside, AZ: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 5395931331), with 6 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5395931331The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
AZ
Enrollments
1
Group size
2 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 3 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20101202000098 AZ Part B Supplier - Clinic/Group Practice 1801100250

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 6

Clinicians who reassign their Medicare benefits to this group (6) or whom Care Compare lists as members (2).

Sources for this page