Mrs Lacey Diane Maul, ENP, FNP is a medicare enrolled "Nurse Practitioner" physician in Kokomo, Indiana. Her current practice location is
1907 W Sycamore St, Kokomo, Indiana. You can reach out to her office (for appointments etc.) via phone at
(765) 456-5433.
Mrs Lacey Diane Maul is licensed to practice in Indiana (license number E08170009) 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 1851816656.
Physician's Profile
Full Name | Mrs Lacey Diane Maul |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 1907 W Sycamore St, Kokomo, Indiana |
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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:
- Mrs Lacey Diane Maul attended and graduated from in
NPI Data:
- NPI Number: 1851816656
- Provider Enumeration Date: 08/14/2017
- Last Update Date: 09/10/2017
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mrs Lacey Diane Maul such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851816656 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207PE0004X | Emergency Medicine - Emergency Medical Services | F06170594 (Indiana) | Secondary |
363L00000X | Nurse Practitioner | E08170009 (Indiana) | Primary |
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. Mrs Lacey Diane Maul 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 |
Mrs Lacey Diane Maul, ENP, FNP 16776 Harewood Dr E, Noblesville, IN 46060-4047 Ph: (317) 313-1922 | Mrs Lacey Diane Maul, ENP, FNP 1907 W Sycamore St, Kokomo, IN 46901-5148 Ph: (765) 456-5433 |
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