Southwest Louisiana AIDS Council

A Medicare group practice based in Lake Charles, LA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 5890086078), with 12 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5890086078The 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
5 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 1 place

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20160617001277 LA Part B Supplier - Clinic/Group Practice 1558431106
O20251121001615 LA Part A Provider - Federally Qualified Health Center (FQHC) 1396622262
O20251111003923 LA Part A Provider - Federally Qualified Health Center (FQHC) 1558431106

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 12

Clinicians who reassign their Medicare benefits to this group (12) or whom Care Compare lists as members (5).

Sources for this page