NPIMap

Lifesource Prime Inc

A Medicare group practice based in Richmond, VA: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 7810336385), with 74 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7810336385The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
NC, SC, VA
Enrollments
3
Group size
52 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 4 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20240416003922 NC Part B Supplier - Clinic/Group Practice 1598533275
O20240613002055 SC Part B Supplier - Clinic/Group Practice 1851143523
O20251230003234 VA Part B Supplier - Clinic/Group Practice 1548124159

NPIs in this group 3

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 74

Clinicians who reassign their Medicare benefits to this group (73) or whom Care Compare lists as members (52).

Sources for this page