NPIMap

Lighthouse Behavioral Wellness Centers

A Medicare group practice based in Durant, OK: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 6406748961), with 94 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6406748961The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
OK
Enrollments
1
Group size
59 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
8In 8 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20040329000653 OK Part B Supplier - Clinic/Group Practice 1518997097

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 94

Clinicians who reassign their Medicare benefits to this group (93) or whom Care Compare lists as members (59).

Sources for this page