Lifestream Behavioral Center Inc

A Medicare group practice based in Leesburg, FL: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 7012992720), with 39 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7012992720The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Hospital, Part B Supplier - Clinic/Group Practice
Enrolled in
FL
Enrollments
2
Group size
18 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
22In 12 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20040618000512 FL Part B Supplier - Clinic/Group Practice 1902802002
O20100913001132 FL Part A Provider - Hospital 1902802002

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 39

Clinicians who reassign their Medicare benefits to this group (39) or whom Care Compare lists as members (18).

Sources for this page