Carly Lasure, PA is a medicare enrolled "Physician Assistant" physician in Tucson, Arizona. Her current practice location is
350 N Wilmot Rd, Tucson, Arizona. You can reach out to her office (for appointments etc.) via phone at
(520) 873-3000.
Carly Lasure is licensed to practice in Arizona (license number 9354) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1427797604.
Physician's Profile
Full Name | Carly Lasure |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 350 N Wilmot Rd, Tucson, Arizona |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1427797604
- Provider Enumeration Date: 06/03/2022
- Last Update Date: 01/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 8729434766
- Enrollment ID: I20231026002345
Medical Identifiers
Medical identifiers for Carly Lasure such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427797604 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208M00000X | Hospitalist | 9354 (Arizona) | Secondary |
363A00000X | Physician Assistant | 9354 (Arizona) | 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. Carly Lasure 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 |
Carly Lasure, PA 3658 W Lantana Hills Pl, Tucson, AZ 85741-1159 Ph: () - | Carly Lasure, PA 350 N Wilmot Rd, Tucson, AZ 85711-2602 Ph: (520) 873-3000 |
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