Jennifer Lassiter, ACNPC-AG is a medicare enrolled "Nurse Practitioner - Acute Care" in Lizella, Georgia. Her current practice location is
4116 Holley Rd., Lizella, Georgia. You can reach out to her office (for appointments etc.) via phone at
(478) 808-2945.
Jennifer Lassiter is licensed to practice in Georgia (license number RN164928) 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 1679170740.
Provider's Profile
| Full Name | Jennifer Lassiter |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Acute Care |
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| Location | 4116 Holley Rd., Lizella, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1679170740
- Provider Enumeration Date: 10/02/2020
- Last Update Date: 10/02/2020
Medicare PECOS Information:
- PECOS PAC ID: 0345619698
- Enrollment ID: I20221208002920
Medical Identifiers
Medical identifiers for Jennifer Lassiter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1679170740 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LA2100X | Nurse Practitioner - Acute Care | RN164928 (Georgia) | Primary |
| 363LG0600X | Nurse Practitioner - Gerontology | RN164928 (Georgia) | 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. Jennifer Lassiter allows following entities to bill medicare on her behalf.
| Entity Name | Georgia Heart Physicians Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407994437
PECOS PAC ID: 0345204418
Enrollment ID: O20041118000000 |
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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. Jennifer Lassiter 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 |
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Jennifer Lassiter, ACNPC-AG
Po Box 759,
Lizella, GA 31052-0759
Ph: (478) 808-2945 | Jennifer Lassiter, ACNPC-AG
4116 Holley Rd.,
Lizella, GA 31052
Ph: (478) 808-2945 |
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