Dr Theresa A Lafranco, MD - Medicare Pediatrics in Lake Ariel, PA

Dr Theresa A Lafranco, MD is a medicare enrolled "Pediatrics" physician in Lake Ariel, Pennsylvania. Her current practice location is 62 Industrial Park Rd, Lake Ariel, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 689-7565.

Dr Theresa A Lafranco is licensed to practice in Pennsylvania (license number MD042543E) 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 1265414296.

Contact Information

Dr Theresa A Lafranco, MD
62 Industrial Park Rd,
Lake Ariel, PA 18436
(570) 689-7565
(570) 689-4803

Map and Direction




Physician's Profile

Full NameDr Theresa A Lafranco
GenderFemale
SpecialityPediatrics
Location62 Industrial Park Rd, Lake Ariel, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1265414296
  • Provider Enumeration Date: 11/16/2005
  • Last Update Date: 08/27/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 4183693476
  • Enrollment ID: I20181129003443

Medical Identifiers

Medical identifiers for Dr Theresa A Lafranco such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265414296NPI-NPPES
0014813550005MedicaidPA
0014813550006MedicaidPA
0014813550007MedicaidPA
0014813550003MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 25MA05693000 (New Jersey)Secondary
208000000XPediatrics MD042543E (Pennsylvania)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. Dr Theresa A Lafranco allows following entities to bill medicare on her behalf.
Entity NameAdvocare Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770538696
PECOS PAC ID: 3678562188
Enrollment ID: O20040510001217

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 Theresa A Lafranco 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 AddressPractice Location Address
Dr Theresa A Lafranco, MD
1837 Fair Ave,
Honesdale, PA 18431-2121

Ph: (570) 253-5838
Dr Theresa A Lafranco, MD
62 Industrial Park Rd,
Lake Ariel, PA 18436

Ph: (570) 689-7565

Reviews and Comments


Pediatrics Doctors in Lake Ariel, PA

Dr. Robert J. Morton, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 62 Industrial Park Road, Lake Ariel, PA 18436
Phone: 570-689-7565    Fax: 570-689-4803
Mrs. Basya Marcus, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 62 Industrial Park Rd, Lake Ariel, PA 18436
Phone: 570-689-7565    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.