NPIMap

Lakeshore Medical Clinic LLC

A Medicare group practice based in Milwaukee, WI: 7 NPIs enrolled under one PECOS associate control ID (PAC ID 7719890730), with 1,107 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7719890730The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Multi-Specialty - Physician, DME Supplier - Physician - Podiatry, MDPP Supplier - in-Person MDPP Supplier, Part B Supplier - Clinic/Group Practice, Part B Supplier - Physical/Occupational Therapy Group in Private Practice
Enrolled in
WI
Enrollments
8
Group size
375 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
122In 24 places

Enrollment records 8

Enrollment IDStateProvider typeNPI
O20031106000481 WI Part B Supplier - Clinic/Group Practice 1003861188
O20031110000224 WI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1003861188
O20130926000441 WI DME Supplier - Multi-Specialty - Physician 1922356252
O20171222000166 WI DME Supplier - Multi-Specialty - Physician 1154840163
O20100930071734 WI DME Supplier - Multi-Specialty - Physician 1114087053
O20100930001576 WI DME Supplier - Physician - Podiatry 1265597645
O20100930059099 WI DME Supplier - Multi-Specialty - Physician 1669646287
O20240418001321 WI MDPP Supplier - in-Person MDPP Supplier 1003861188

NPIs in this group 7

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Merit-based Incentive Payment System (MIPS)

Medicare Care Compare
Final score
51.27 of 100Reported as group, on the record of 3 clinicians in this group
Quality
0
Promoting interoperability
100
Improvement activities
40
Final score
0 of 100Reported as group
Quality
0
Improvement activities
0
Cost
0

Clinicians 1,107

Page 1 of 12

Clinicians who reassign their Medicare benefits to this group (1,107) or whom Care Compare lists as members (375).

Sources for this page