Excel Pain and Spine LLC

A Medicare group practice based in Lakeland, FL: 6 NPIs enrolled under one PECOS associate control ID (PAC ID 8123447869), with 27 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8123447869The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - Physical and Rehabilitation, Part B Supplier - Clinic/Group Practice
Enrolled in
FL
Enrollments
7
Group size
15 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
22In 13 places

Enrollment records 7

Enrollment IDStateProvider typeNPI
O20200930001765 FL Part B Supplier - Clinic/Group Practice 1063028587
O20210203002303 FL DME Supplier - Physician - Physical and Rehabilitation 1063028587
O20220411000320 FL DME Supplier - Physician - Physical and Rehabilitation 1093475667
O20220513001060 FL DME Supplier - Physician - Physical and Rehabilitation 1730849209
O20250620000413 FL DME Supplier - Physician - Physical and Rehabilitation 1366207649
O20250520000751 FL DME Supplier - Physician - Physical and Rehabilitation 1508621871
O20251022000533 FL DME Supplier - Physician - Physical and Rehabilitation 1023811619

NPIs in this group 6

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 27

Clinicians who reassign their Medicare benefits to this group (27) or whom Care Compare lists as members (15).

Sources for this page