NPIMap

Lisa a Durette MD PLLC

A Medicare group practice based in Las Vegas, NV: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 6103927280), with 37 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6103927280The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
NV
Enrollments
1
Group size
13 cliniciansAs Care Compare reports it
Medicare assignment
May accept Medicare assignment
Practice locations
5In 1 place

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20070719000161 NV Part B Supplier - Clinic/Group Practice 1669679205

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 37

Clinicians who reassign their Medicare benefits to this group (37) or whom Care Compare lists as members (13).

Sources for this page