Grace Clinic of Lubbock

A Medicare group practice based in Lubbock, TX: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 5597768101), with 78 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5597768101The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - General Practice, Part B Supplier - Clinic/Group Practice
Enrolled in
NM, TX
Enrollments
3
Group size
44 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
16In 4 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20060822000256 TX Part B Supplier - Clinic/Group Practice 1912953357
O20160706000960 NM Part B Supplier - Clinic/Group Practice 1912953357
O20100930085065 TX DME Supplier - Physician - General Practice 1912953357

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 78

Clinicians who reassign their Medicare benefits to this group (78) or whom Care Compare lists as members (44).

Sources for this page