Michelle Frances Lackovic, MD is a medicare enrolled "General Practice" physician in Charlestown, New Hampshire. Her current practice location is
131 Morningside Ln, Charlestown, New Hampshire. You can reach out to her office (for appointments etc.) via phone at
(603) 542-0066.
Michelle Frances Lackovic is licensed to practice in New Hampshire (license number 8314) 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 1114169125.
Physician's Profile
Full Name | Michelle Frances Lackovic |
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Gender | Female |
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Speciality | General Practice |
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Location | 131 Morningside Ln, Charlestown, New Hampshire |
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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: 1114169125
- Provider Enumeration Date: 04/06/2009
- Last Update Date: 04/06/2009
Medicare PECOS Information:
- PECOS PAC ID: 2062740129
- Enrollment ID: I20190827003526
Medical Identifiers
Medical identifiers for Michelle Frances Lackovic such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114169125 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 8314 (New Hampshire) | 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. Michelle Frances Lackovic allows following entities to bill medicare on her behalf.
Entity Name | Keady Family Practice Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1033466784 PECOS PAC ID: 8921251828 Enrollment ID: O20121228000366 |
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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. Michelle Frances Lackovic 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 |
Michelle Frances Lackovic, MD 131 Morningside Ln, Charlestown, NH 03603-4210 Ph: (603) 542-0066 | Michelle Frances Lackovic, MD 131 Morningside Ln, Charlestown, NH 03603-4210 Ph: (603) 542-0066 |
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