NPIMap

Lac Du Flambeau Band of Lake Superior Chippewa Indians

A Medicare group practice based in Lac Du Flambeau, WI: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 5496707242), with 19 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5496707242The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
WI
Enrollments
1
Group size
19 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
2In 1 place

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20050221000179 WI Part B Supplier - Clinic/Group Practice 1134235047

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 19

Clinicians who reassign their Medicare benefits to this group (19) or whom Care Compare lists as members (19).

Sources for this page