Lakeshore Ear Nose and Throat Center PC

A Medicare group practice based in Saint Clair Shores, MI: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 7315928934), with 18 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7315928934The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
MI
Enrollments
1
Group size
10 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
2In 2 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20040528000112 MI Part B Supplier - Clinic/Group Practice 1285803346

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 18

Clinicians who reassign their Medicare benefits to this group (18) or whom Care Compare lists as members (10).

Sources for this page