Dr Julieta Lasala, MD in South Holland, IL

Dr Julieta Lasala, MD is a medicare enrolled "Family Medicine" physician in South Holland, Illinois. She graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Advocate Health And Hospitals Corporation and her current practice location is 100 W 162nd St, South Holland, Illinois. You can reach out to her office (for appointments etc.) via phone at (312) 609-0300.

Dr Julieta Lasala is licensed to practice in Illinois (license number 036-144164) 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 1043694045.

Contact Information

	Dr Julieta Lasala, MD
	100 W 162nd St, South Holland, IL 60473-2003
	(312) 609-0300
	(312) 842-5897

Map and Direction

Physician's Profile

Full Name	Dr Julieta Lasala
Gender	Female
Speciality	Family Practice
Experience	9 Years
Location	100 W 162nd St, South Holland, Illinois
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 Julieta Lasala graduated from medical school in 2015

NPI Data:

NPI Number: 1043694045
Provider Enumeration Date: 07/20/2015
Last Update Date: 04/25/2023

Medicare PECOS Information:

PECOS PAC ID: 3971851825
Enrollment ID: I20180808003455

Medical Identifiers

Medical identifiers for Dr Julieta Lasala such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043694045	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	125067701 (Louisiana)	Secondary
207Q00000X	Family Medicine	036-144164 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Advocate Trinity Hospital	Chicago, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Advocate Health And Hospitals Corporation	7810800935	2484

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 Julieta Lasala allows following entities to bill medicare on her behalf.

Entity Name	Advocate Health And Hospitals Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064

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 Julieta Lasala 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 Julieta Lasala, MD 29373 Network Pl, Chicago, IL 60673-1293 Ph: (847) 390-5900	Dr Julieta Lasala, MD 100 W 162nd St, South Holland, IL 60473-2003 Ph: (312) 609-0300

Reviews and Comments

Family Medicine Doctors in South Holland, IL

Shweta Gandhi, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 W 162nd St, South Holland, IL 60473 Phone: 708-730-2200 Fax: 708-210-0625
Jeffrey W Branta, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 W 162nd St, South Holland, IL 60473 Phone: 708-730-2200 Fax: 708-210-0648
Sajid Sami, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 W 162nd St, South Holland, IL 60473 Phone: 708-730-2200 Fax: 708-210-0625
Dr. William H Gillard, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 52 W 162nd St, South Holland, IL 60473 Phone: 877-692-8686 Fax: 708-596-2538
Dr. Charles Matthew Chelich, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 16240 Prince Dr, South Holland, IL 60473 Phone: 708-331-0011 Fax: 708-331-0008
Dr. Jerry Lee Jensen, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15525 S Park Ave, Suite 113, South Holland, IL 60473 Phone: 708-331-5100 Fax: 708-331-5005

Dr Julieta Lasala, MD - Medicare Family Practice in South Holland, IL