Dr Lac K Le, MD is a medicare enrolled "General Practice" physician in Petersburg, Virginia. His current practice location is
26317 W. Washington St, Central State Hospital, Petersburg, Virginia. You can reach out to his office (for appointments etc.) via phone at
(804) 524-7429.
Dr Lac K Le is licensed to practice in Virginia (license number 0101034585) 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 1760460265.
Physician's Profile
Full Name | Dr Lac K Le |
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Gender | Male |
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Speciality | General Practice |
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Location | 26317 W. Washington St, Petersburg, Virginia |
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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: 1760460265
- Provider Enumeration Date: 01/04/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 0244526861
- Enrollment ID: I20160908001183
Medical Identifiers
Medical identifiers for Dr Lac K Le such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760460265 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 0101034585 (Virginia) | 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. Dr Lac K Le 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 Lac K Le, MD 5816 Spinnaker Cove Rd, Midlothian, VA 23112-2127 Ph: (804) 524-7429 | Dr Lac K Le, MD 26317 W. Washington St, Central State Hospital, Petersburg, VA 23803 Ph: (804) 524-7429 |
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