Holly J Lago, C-FNP in Phoenix, AZ - Medicare Nurse Practitioner

Holly J Lago, C-FNP is a medicare enrolled "Nurse Practitioner - Family" in Phoenix, Arizona. She graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Oak Street Health Physicians Group Of Arizona Pllc and her current practice location is 1940 W Indian School Rd Ste 1, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 782-1880.

Holly J Lago is licensed to practice in Kansas (license number 80303) 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 1649240938.

Contact Information

	Holly J Lago, C-FNP
	1940 W Indian School Rd Ste 1, Phoenix, AZ 85015-5112
	(602) 782-1880
	Not Available

Map and Direction

Provider's Profile

Full Name	Holly J Lago
Gender	Female
Speciality	Nurse Practitioner
Experience	19 Years
Location	1940 W Indian School Rd Ste 1, Phoenix, Arizona
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:

Holly J Lago graduated from nursing school in 2005

NPI Data:

NPI Number: 1649240938
Provider Enumeration Date: 01/26/2006
Last Update Date: 06/05/2024

Medicare PECOS Information:

PECOS PAC ID: 9739112384
Enrollment ID: I20221005001009

Medical Identifiers

Medical identifiers for Holly J Lago such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649240938	NPI	-	NPPES
886467500	Medicaid	MN
13620	Other		AVERA
253254	Other		MIDLANDS CHOICE
281G0KO	Other	MN	BLUE CROSS BLUE SHIELD
974311045631	Other		PREF ONE
806278	Other		AMERICAS PPO
0121785	Other		MEDICA
135445	Other		UCARE
435M6KO	Other	MN	BLUE CROSS BLUE SHIELD
0599456	Medicaid	IA
47358	Other		SANFORD HEALTH
HP56828	Other		HEALTHPARTNERS
P00365643	Other		RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	R134082-4 (Minnesota)	Secondary
363LF0000X	Nurse Practitioner - Family	2020040251 (Missouri)	Secondary
363LF0000X	Nurse Practitioner - Family	80303 (Kansas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Oak Street Health Physicians Group Of Arizona Pllc	3274939988	42

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. Holly J Lago allows following entities to bill medicare on her behalf.

Entity Name	Oak Street Health Physicians Group Of Arizona Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063083590 PECOS PAC ID: 3274939988 Enrollment ID: O20210903002048

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. Holly J Lago 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
Holly J Lago, C-FNP Po Box 746093, Atlanta, GA 30374-6093 Ph: (312) 733-9730	Holly J Lago, C-FNP 1940 W Indian School Rd Ste 1, Phoenix, AZ 85015-5112 Ph: (602) 782-1880

Reviews and Comments

Nurse Practitioner Nurses in Phoenix, AZ

Ms. Karla D Wax, N.P.-C. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1331 N 7th St, Suite 275, Phoenix, AZ 85006 Phone: 602-254-3151 Fax: 602-256-9581
Miss Kimara Vaughn, APRN-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2770 E Van Buren St, Phoenix, AZ 85008 Phone: 602-273-9999
Gia Kay Thompson, F.N.P Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3003 N Central Ave, Suite 800, Phoenix, AZ 85012 Phone: 602-462-1132 Fax: 602-462-1186
Michele A Riep, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3003 N Central Ave, Suite 800, Phoenix, AZ 85012 Phone: 602-462-1132
Tyler Ann Brockhoff, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2632 E Thomas Rd # 100, Phoenix, AZ 85016 Phone: 602-957-2507
Rebecca Anne Shaw, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16620 N 40th St Ste E1, Phoenix, AZ 85032 Phone: 602-464-9576 Fax: 480-428-0475
Mrs. Sonia Teresa Brunson, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1717 E Morten Ave Unit 54, Phoenix, AZ 85020 Phone: 925-413-9919

Holly J Lago, C-FNP - Medicare Nurse Practitioner in Phoenix, AZ