Kelly Christina Laskoski, MD is a medicare enrolled "Dermatology" physician in Usaf Academy, Colorado. Her current practice location is
4102 Pinion Dr, Usaf Academy, Colorado. You can reach out to her office (for appointments etc.) via phone at
(719) 524-2273.
Kelly Christina Laskoski is licensed to practice in Virginia (license number 0101258852) 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 1215351176.
Physician's Profile
Full Name | Kelly Christina Laskoski |
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Gender | Female |
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Speciality | Dermatology |
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Location | 4102 Pinion Dr, Usaf Academy, Colorado |
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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: 1215351176
- Provider Enumeration Date: 02/13/2014
- Last Update Date: 11/07/2022
Medicare PECOS Information:
- PECOS PAC ID: 9739558099
- Enrollment ID: I20221207003144
Medical Identifiers
Medical identifiers for Kelly Christina Laskoski such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215351176 | NPI | - | NPPES |
0068734 | Other | CO | COLORADO STATE LIC |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 0101258852 (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. Kelly Christina Laskoski allows following entities to bill medicare on her behalf.
Entity Name | Colorado Springs Dermatology Clinic, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1801901517 PECOS PAC ID: 2264424738 Enrollment ID: O20040402000557 |
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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. Kelly Christina Laskoski 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 |
Kelly Christina Laskoski, MD 4102 Pinion Dr, Usaf Academy, CO 80840-2502 Ph: () - | Kelly Christina Laskoski, MD 4102 Pinion Dr, Usaf Academy, CO 80840-2502 Ph: (719) 524-2273 |
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