Victoria Lasala, MD in San Luis, AZ

Victoria Lasala, MD is a medicare enrolled "Pediatrics" physician in San Luis, Arizona. Her current practice location is 1896 E Babbitt Ln, San Luis, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 722-6112.

Victoria Lasala is licensed to practice in Arizona (license number 18634) 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 1528500576.

Contact Information

	Victoria Lasala, MD
	1896 E Babbitt Ln, San Luis, AZ 85349
	(928) 722-6112
	(928) 722-6113

Map and Direction

Physician's Profile

Full Name	Victoria Lasala
Gender	Female
Speciality	Pediatrics
Location	1896 E Babbitt Ln, San Luis, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528500576
Provider Enumeration Date: 11/08/2016
Last Update Date: 08/13/2024

Medicare PECOS Information:

PECOS PAC ID: 1557642089
Enrollment ID: I20161221001214

Medical Identifiers

Medical identifiers for Victoria Lasala such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528500576	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	18634 (Arizona)	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. Victoria Lasala allows following entities to bill medicare on her behalf.

Entity Name	San Luis Walk-in Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104228337 PECOS PAC ID: 2668361841 Enrollment ID: O20040514000795

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. Victoria Lasala 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
Victoria Lasala, MD Po Box 617, Somerton, AZ 85350-0617 Ph: (928) 662-0406	Victoria Lasala, MD 1896 E Babbitt Ln, San Luis, AZ 85349 Ph: (928) 722-6112

Reviews and Comments

Pediatrics Doctors in San Luis, AZ

Dr. Ramon Carampatan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1896 E Babbit Ln, San Luis, AZ 85336 Phone: 928-722-6112 Fax: 928-550-5466
Sucharitha Gunasekera, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 815 E Juan Sanchez Blvd, San Luis, AZ 85349 Phone: 928-627-3822 Fax: 928-627-3989
Dr. Mohamed H. El-gasim, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1896 E Babbit Ln, San Luis, AZ 85336 Phone: 928-722-6112
Dr. Leonardo Rodriguez, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1896 E Babbitt Ln, San Luis, AZ 85349 Phone: 928-722-6112 Fax: 928-722-6113
Daniel Anthony Calabrese, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1896 E. Babbit Lane, San Luis, AZ 85349 Phone: 928-722-6112 Fax: 928-722-6113
Dr. Roderic Joel Hartman, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1896 E Babbitt Lane, San Luis, AZ 85349 Phone: 928-722-6112 Fax: 928-722-6113

Victoria Lasala, MD - Medicare Pediatrics in San Luis, AZ