Lance Tlustos, CASAC-ADVANCED is a
Counselor - Addiction (substance Use Disorder) based in Middleport, New York. Lance Tlustos is licensed to practice in New York (license number 34293) and his current practice location is
2957 Drum Rd, Middleport, New York. He can be reached at his office (for appointments etc.) via phone at
(585) 735-6912.
NPI number for Lance Tlustos is 1548955172 and his current mailing address is 2957 Drum Rd, Middleport, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1548955172.
Healthcare Provider's Profile
Full Name | Lance Tlustos |
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Gender | Male |
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Speciality | Counselor - Addiction (substance Use Disorder) |
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Location | 2957 Drum Rd, Middleport, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1548955172
- Provider Enumeration Date: 04/10/2023
- Last Update Date: 04/10/2023
Medical Identifiers
Medical identifiers for Lance Tlustos such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548955172 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 34293 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lance Tlustos is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Lance Tlustos, CASAC-ADVANCED 2957 Drum Rd, Middleport, NY 14105-9732 Ph: (585) 735-6912 | Lance Tlustos, CASAC-ADVANCED 2957 Drum Rd, Middleport, NY 14105-9732 Ph: (585) 735-6912 |
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