Lake Point Medical Group LLC

A Medicare group practice based in Lakewood, OH: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 6002177342), with 6 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6002177342The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Multi-Specialty - Physician, Part B Supplier - Clinic/Group Practice
Enrolled in
OH
Enrollments
3
Group size
6 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 2 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20180228002221 OH Part B Supplier - Clinic/Group Practice 1235646191
O20191001003315 OH DME Supplier - Multi-Specialty - Physician 1235646191
O20191001002409 OH DME Supplier - Multi-Specialty - Physician 1982161527

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 (6).

Sources for this page