Dr Andrea June Lack, MD in Nashville, TN - Medicare Internal Medicine

Dr Andrea June Lack, MD is a medicare enrolled "Internal Medicine" physician in Nashville, Tennessee. She went to University Of Texas Southwestern Medical School At Dallas and graduated in 2011 and has 13 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Vanderbilt University Medical Center, Select Physical Therapy Holdings Inc and her current practice location is 3601 The Vanderbilt Clinic, Nashville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (615) 322-3000.

Dr Andrea June Lack is licensed to practice in Tennessee (license number 69193) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1699060905.

Contact Information

	Dr Andrea June Lack, MD
	3601 The Vanderbilt Clinic, Nashville, TN 37232-4600
	(615) 322-3000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Andrea June Lack
Gender	Female
Speciality	Internal Medicine
Experience	13 Years
Location	3601 The Vanderbilt Clinic, Nashville, Tennessee
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Andrea June Lack attended and graduated from University Of Texas Southwestern Medical School At Dallas in 2011

NPI Data:

NPI Number: 1699060905
Provider Enumeration Date: 06/14/2011
Last Update Date: 11/08/2023

Medicare PECOS Information:

PECOS PAC ID: 5890004683
Enrollment ID: I20231115003300

Medical Identifiers

Medical identifiers for Dr Andrea June Lack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699060905	NPI	-	NPPES
Q5461	Other	TX	TX MEDICAL BOARD LICENSE EFF 8/3/15
1679524961	Other	TX	LEGACY COMMUNITY HEALTH SERVICES INC MEDICAID #
BP10041723	Other	TX	TEXAS MEDICAL BOARD PHYSICIAN IN TRAINING PERMIT
741819	Other	TX	LEGACY SITE SPECIFIC MEDICARE #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	Q5461 (Texas)	Secondary
208000000X	Pediatrics	Q5461 (Texas)	Secondary
207R00000X	Internal Medicine	69193 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Vanderbilt University Medical Center	Nashville, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Vanderbilt University Medical Center	5092023416	2742
Select Physical Therapy Holdings Inc	9537076401	1557

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. Dr Andrea June Lack allows following entities to bill medicare on her behalf.

Entity Name	Vanderbilt University Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104202761 PECOS PAC ID: 5092023416 Enrollment ID: O20151006000369

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. Dr Andrea June Lack 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
Dr Andrea June Lack, MD 3841 Green Hills Village Dr, Nashville, TN 37215-2691 Ph: () -	Dr Andrea June Lack, MD 3601 The Vanderbilt Clinic, Nashville, TN 37232-4600 Ph: (615) 322-3000

Reviews and Comments

Internal Medicine Doctors in Nashville, TN

Megan Desai, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4220 Harding Pike, Nashville, TN 37205 Phone: 615-222-6726 Fax: 615-222-3702
Harrison Klause, Internal Medicine Medicare: Medicare Enrolled Practice Location: 3601 The Vanderbilt Clinic, Nashville, TN 37232 Phone: 615-322-3000
John N Bowers, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4230 Harding Pike Ste 500, Nashville, TN 37205 Phone: 629-255-2493 Fax: 629-255-4266
Dr. Evan Zehr, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1161 21st Ave S, Nashville, TN 37232 Phone: 615-322-6943
Spurthi N Bhatt, MD MPH Internal Medicine Medicare: Medicare Enrolled Practice Location: 3601 The Vanderbilt Clinic, Nashville, TN 37232 Phone: 615-322-3000
Mr. Robert M Johnson, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2410 Patterson St, Suite 106, Nashville, TN 37203 Phone: 615-340-4611 Fax: 615-340-4658
Mr. John E Anderson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2400 Patterson St, Suite 400, Nashville, TN 37203 Phone: 615-342-5900 Fax: 615-342-5912

Dr Andrea June Lack, MD - Medicare Internal Medicine in Nashville, TN