Lauri M Tadlock, MD in Bellevue, WA

Lauri M Tadlock, MD is a medicare enrolled "Dermatology" physician in Bellevue, Washington. Her current practice location is 14030 Ne 24th St, Suite 202, Bellevue, Washington. You can reach out to her office (for appointments etc.) via phone at (425) 454-1104.

Lauri M Tadlock is licensed to practice in Washington (license number MD00021891) 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 1225131865.

Contact Information

	Lauri M Tadlock, MD
	14030 Ne 24th St, Suite 202, Bellevue, WA 98007
	(425) 454-1104
	(425) 454-1290

Map and Direction

Physician's Profile

Full Name	Lauri M Tadlock
Gender	Female
Speciality	Dermatology
Location	14030 Ne 24th St, Bellevue, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225131865
Provider Enumeration Date: 09/07/2006
Last Update Date: 06/28/2010

Medicare PECOS Information:

PECOS PAC ID: 9537116660
Enrollment ID: I20120127000921

Medical Identifiers

Medical identifiers for Lauri M Tadlock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225131865	NPI	-	NPPES
1087154	Medicaid	WA
TA0069	Other		REGENCE
070007061	Other	WA	RAILROAD MEDICARE
4120050	Other		AETNA
CN9262	Other	WA	RAILROAD MEDICARE
7080237	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	MD00021891 (Washington)	Primary
207NS0135X	Dermatology - Procedural Dermatology	MD00021891 (Washington)	Secondary
207NP0225X	Dermatology - Pediatric Dermatology	MD00021891 (Washington)	Secondary

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. Lauri M Tadlock allows following entities to bill medicare on her behalf.

Entity Name	North Pacific Dermatology Ps
Entity Type	Part B Supplier - Ambulatory Surgical Center
Entity Identifiers	NPI Number: 1881845907 PECOS PAC ID: 2264448059 Enrollment ID: O20081031000236

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. Lauri M Tadlock 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
Lauri M Tadlock, MD 14030 Ne 24th St, Suite 202, Bellevue, WA 98007 Ph: (425) 454-1104	Lauri M Tadlock, MD 14030 Ne 24th St, Suite 202, Bellevue, WA 98007 Ph: (425) 454-1104

Reviews and Comments

Dermatology Doctors in Bellevue, WA

Julie S Francis, MD Dermatology Medicare: Medicare Enrolled Practice Location: 14030 Ne 24th St, Suite 202, Bellevue, WA 98007 Phone: 425-454-1104 Fax: 425-454-1290
Samir P. Master, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1414 116th Ave Ne Ste E, Bellevue, WA 98004 Phone: 425-753-2918
Keith Cameron Carlson, MD Dermatology Medicare: Medicare Enrolled Practice Location: 11511 Ne 10th St, Bellevue, WA 98004 Phone: 425-502-3000
Andy J Chien, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 11511 Ne 10th St, Bellevue, WA 98004 Phone: 425-502-3000 Fax: 425-502-3589
Dr. John P. Hackett, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1605 116th Ave Ne, Ste 102, Bellevue, WA 98004 Phone: 425-456-0709 Fax: 425-456-0358
Dr. James Philip Harnisch, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1600 116th Ave Ne, #306, Bellevue, WA 98004 Phone: 425-455-5111 Fax: 425-455-5113
Dr. Anjeli Krishnan Isaac, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 11511 Ne 10th St, Bellevue, WA 98004 Phone: 425-502-3000

Lauri M Tadlock, MD - Medicare Dermatology in Bellevue, WA