Conner B Lawrence, AGACNP is a medicare enrolled "Nurse Practitioner - Acute Care" physician in Charlottesville, Virginia. His current practice location is
1215 Lee St, Charlottesville, Virginia. You can reach out to his office (for appointments etc.) via phone at
(434) 243-4288.
Conner B Lawrence is licensed to practice in Virginia (license number 0024185070) 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 1023739810.
Physician's Profile
| Full Name | Conner B Lawrence |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Acute Care |
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| Location | 1215 Lee St, Charlottesville, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1023739810
- Provider Enumeration Date: 09/08/2022
- Last Update Date: 01/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 9436527215
- Enrollment ID: I20221129001741
Medical Identifiers
Medical identifiers for Conner B Lawrence such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1023739810 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208M00000X | Hospitalist | 0024185070 (Virginia) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | 0024185070 (Virginia) | 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. Conner B Lawrence allows following entities to bill medicare on his behalf.
| Entity Name | University Of Virginia Physicians Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033138250
PECOS PAC ID: 4880590728
Enrollment ID: O20040102000780 |
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| Entity Name | Martha Jefferson Medical Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275720559
PECOS PAC ID: 5991889081
Enrollment ID: O20080228000055 |
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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. Conner B Lawrence 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 |
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Conner B Lawrence, AGACNP
Po Box 9007,
Charlottesville, VA 22906-9007
Ph: () - | Conner B Lawrence, AGACNP
1215 Lee St,
Charlottesville, VA 22908-4668
Ph: (434) 243-4288 |
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