NPIMap

County of Lawrence Health Department

A Medicare group practice based in Lawrenceville, IL: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 9830093723), with 8 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9830093723The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only)
Enrolled in
IL
Enrollments
4
Group size
3 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
5In 1 place

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20031121000693 IL Part B Supplier - Clinic/Group Practice 1629132410
O20241101001284 IL Part B Supplier - Clinic/Group Practice 1073334835
O20131224000023 IL Part B Supplier - Mass Immunization (Roster Biller Only) 1982824041
O20090921000160 IL Part A Provider - Rural Health Clinic 1629132410

NPIs in this group 5

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 8

Clinicians who reassign their Medicare benefits to this group (7) or whom Care Compare lists as members (3).

Sources for this page