Lacey Roybal, DO in Salem, OR - Medicare Micrographic Dermatologic Surgery (mds)

Lacey Roybal, DO is a medicare enrolled "Dermatology" physician in Salem, Oregon. She went to Arizona College Of Osteopathic Medicine Mid Western University and graduated in 2017 and has 7 years of diverse experience with area of expertise as Micrographic Dermatologic Surgery (mds). She is a member of the group practice Silver Falls Dermatology Llc, Silver Falls Dermatology Llc and her current practice location is 1793 13th St Se, Salem, Oregon. You can reach out to her office (for appointments etc.) via phone at (866) 599-3376.

Lacey Roybal is licensed to practice in Oregon (license number DO188595) 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 1366977027.

Contact Information

	Lacey Roybal, DO
	1793 13th St Se, Salem, OR 97302-2541
	(866) 599-3376
	Not Available

Map and Direction

Physician's Profile

Full Name	Lacey Roybal
Gender	Female
Speciality	Micrographic Dermatologic Surgery (mds)
Experience	7 Years
Location	1793 13th St Se, Salem, Oregon
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:

Lacey Roybal attended and graduated from Arizona College Of Osteopathic Medicine Mid Western University in 2017

NPI Data:

NPI Number: 1366977027
Provider Enumeration Date: 05/01/2017
Last Update Date: 11/10/2021

Medicare PECOS Information:

PECOS PAC ID: 3375813942
Enrollment ID: I20210729001746

Medical Identifiers

Medical identifiers for Lacey Roybal such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366977027	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	DO188595 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Willamette Valley Medical Center	Mcminnville, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Silver Falls Dermatology Llc	5890863492	81
Silver Falls Dermatology Llc	5890863492	81

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. Lacey Roybal allows following entities to bill medicare on her behalf.

Entity Name	Silver Falls Dermatology Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134375421 PECOS PAC ID: 5890863492 Enrollment ID: O20140328000678

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. Lacey Roybal 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
Lacey Roybal, DO 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 Ph: (541) 768-4906	Lacey Roybal, DO 1793 13th St Se, Salem, OR 97302-2541 Ph: (866) 599-3376

Reviews and Comments

Dermatology Doctors in Salem, OR

Thomas V Kruse, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1410 Commercial St Se, Salem, OR 97302 Phone: 503-370-7364 Fax: 503-375-3643
Dr. Russell John Young, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1793 13th St Se, Salem, OR 97302 Phone: 503-362-8385 Fax: 503-362-8435
Dr. Jacques Michael Casparian, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 1793 13th St Se, Salem, OR 97302 Phone: 503-362-8385 Fax: 503-362-8435
Michael E Goodenberger, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2441 Grear St Ne, Salem, OR 97301 Phone: 503-588-0469
Erik Kokkonen, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2441 Grear St Ne, Salem, OR 97301 Phone: 503-588-0469 Fax: 503-566-2063
William Lear, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1793 13th St Se, Salem, OR 97302 Phone: 503-362-8385 Fax: 503-362-8435

Lacey Roybal, DO - Medicare Micrographic Dermatologic Surgery (mds) in Salem, OR