Adam Lacayo, MD in Champlain, NY - Medicare Family Medicine

Adam Lacayo, MD is a medicare enrolled "Family Medicine" physician in Champlain, New York. His current practice location is 828 State Route 11, Champlain, New York. You can reach out to his office (for appointments etc.) via phone at (518) 298-2691.

Adam Lacayo is licensed to practice in New York (license number 326926) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1942874920.

Contact Information

	Adam Lacayo, MD
	828 State Route 11, Champlain, NY 12919-4966
	(518) 298-2691
	(518) 298-8241

Map and Direction

Physician's Profile

Full Name	Adam Lacayo
Gender	Male
Speciality	Family Medicine
Location	828 State Route 11, Champlain, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942874920
Provider Enumeration Date: 05/14/2021
Last Update Date: 12/23/2024

Medicare PECOS Information:

PECOS PAC ID: 7113468513
Enrollment ID: I20240925003941

Medical Identifiers

Medical identifiers for Adam Lacayo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942874920	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	326926 (New York)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Adam Lacayo allows following entities to bill medicare on his behalf.

Entity Name	Northwestern Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538293469 PECOS PAC ID: 5496714313 Enrollment ID: O20081114000535

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. Adam Lacayo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Adam Lacayo, MD 9 Carey Rd, Queensbury, NY 12804-7880 Ph: (518) 761-0300	Adam Lacayo, MD 828 State Route 11, Champlain, NY 12919-4966 Ph: (518) 298-2691

Reviews and Comments

Family Medicine Doctors in Champlain, NY

Maurice A Racine, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 828 State Route 11, Champlain, NY 12919 Phone: 518-298-2691 Fax: 518-298-8241
Aaron Esterson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 828 State Route 11, Champlain, NY 12919 Phone: 518-298-2691 Fax: 518-298-8241
Candice Michelle Ciolac, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 481 State Route 11, Champlain, NY 12919 Phone: 518-298-2691 Fax: 518-298-8241
Stephanie Papaconstantinou, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 828 State Route 11, Champlain, NY 12919 Phone: 518-298-2691 Fax: 518-298-8241
Lisa Marie Skarling, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 828 State Route 11, Champlain, NY 12919 Phone: 518-298-2691 Fax: 518-298-8241
Jessica S King, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 481 Route 11, Champlain, NY 12919 Phone: 518-298-2691 Fax: 518-298-8241
Nicole Brianna Cerklewich, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 828 State Route 11, Champlain, NY 12919 Phone: 518-298-2691 Fax: 518-298-8421

Adam Lacayo, MD - Medicare Family Medicine in Champlain, NY