Louisiana Department of Health - Office of Public Health

A Medicare group practice based in Baton Rouge, LA: 9 NPIs enrolled under one PECOS associate control ID (PAC ID 5890700694), with 71 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5890700694The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice, Part B Supplier - Independent Clinical Laboratory
Enrolled in
LA
Enrollments
2
Group size
31 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
64In 63 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20171026002776 LA Part B Supplier - Independent Clinical Laboratory 1942221098
O20140815000393 LA Part B Supplier - Clinic/Group Practice 1144372343

NPIs in this group 9

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment
Other places (23)
  • Sulphur, LA1
  • Rayville, LA1
  • St Martinville, LA1
  • Oakdale, LA1
  • Springhill, LA1
  • Shreveport, LA1
  • Ruston, LA1
  • Reserve, LA1
  • Winnsboro, LA1
  • Cameron, LA1
  • Minden, LA1
  • Monroe, LA1
  • Bossier City, LA1
  • Bogalusa, LA1
  • Bastrop, LA1
  • Arcadia, LA1
  • Amite, LA1
  • Alexandria, LA1
  • Morgan City, LA1
  • Napoleonville, LA1
  • Abbeville, LA1
  • Port Allen, LA1
  • Natchitoches, LA1

Clinicians 71

Clinicians who reassign their Medicare benefits to this group (71) or whom Care Compare lists as members (31).

Sources for this page