Kirana Lynn Lavallie, NP is a medicare enrolled "Nurse Practitioner" in Crown Point, New York. Her current practice location is
2679 Main St, Crown Point, New York. You can reach out to her office (for appointments etc.) via phone at
(518) 597-3029.
Kirana Lynn Lavallie is licensed to practice in Vermont (license number 101-0136759) 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 1467185694.
Provider's Profile
| Full Name | Kirana Lynn Lavallie |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 2679 Main St, Crown Point, New York |
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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: 1467185694
- Provider Enumeration Date: 07/06/2022
- Last Update Date: 03/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 6406228832
- Enrollment ID: I20230214000575
Medical Identifiers
Medical identifiers for Kirana Lynn Lavallie such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1467185694 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 350495 (New York) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | 101-0136759 (Vermont) | 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. Kirana Lynn Lavallie allows following entities to bill medicare on her behalf.
| Entity Name | Elizabethtown Community Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053656744
PECOS PAC ID: 3577554138
Enrollment ID: O20040521000534 |
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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. Kirana Lynn Lavallie 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 |
|---|
Kirana Lynn Lavallie, NP
2679 Main St,
Crown Point, NY 12928-2603
Ph: (518) 597-3029 | Kirana Lynn Lavallie, NP
2679 Main St,
Crown Point, NY 12928-2603
Ph: (518) 597-3029 |
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