Grace Lutheran Foundation, Inc.

A Medicare group practice based in Altoona, WI: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 7113838061), with 13 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7113838061The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Skilled Nursing Facility, Part B Supplier - Clinic/Group Practice
Enrolled in
WI
Enrollments
2
Group size
6 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
2In 1 place

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20160628001018 WI Part A Provider - Skilled Nursing Facility 1952756991
O20250610001123 WI Part B Supplier - Clinic/Group Practice 1639960347

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 13

Clinicians who reassign their Medicare benefits to this group (13) or whom Care Compare lists as members (6).

Sources for this page