Lacey M Weller, NP is a medicare enrolled "Nurse Practitioner" in Charlton, New York. Her current practice location is
286 Stage Rd, Charlton, New York. You can reach out to her office (for appointments etc.) via phone at
(518) 399-2101.
Lacey M Weller is licensed to practice in New York (license number 338016) 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 1275973638.
Provider's Profile
| Full Name | Lacey M Weller |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 286 Stage Rd, Charlton, New York |
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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. |
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Medical Education and Training:
- Lacey M Weller attended and graduated from in
NPI Data:
- NPI Number: 1275973638
- Provider Enumeration Date: 07/01/2013
- Last Update Date: 05/02/2018
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Lacey M Weller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275973638 | NPI | - | NPPES |
| 130920000077 | Other | NY | FIDELIS CARE NY |
| 03605323 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | 338016 (New York) | 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. Lacey M Weller 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 |
|---|
Lacey M Weller, NP
711 Troy Schenectady Rd Ste 203,
Latham, NY 12110-2461
Ph: (518) 782-3700 | Lacey M Weller, NP
286 Stage Rd,
Charlton, NY 12019-2618
Ph: (518) 399-2101 |
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