Lacey Kang, CPNP in Baltimore, MD - Medicare Nurse Practitioner

Lacey Kang, CPNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Baltimore, Maryland. Her current practice location is 345 Saint Paul St, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 332-9000.

Lacey Kang is licensed to practice in Maryland (license number R227961) 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 1346952090.

Contact Information

	Lacey Kang, CPNP
	345 Saint Paul St, Baltimore, MD 21202-2123
	(410) 332-9000
	Not Available

Map and Direction

Provider's Profile

Full Name	Lacey Kang
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	345 Saint Paul St, Baltimore, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346952090
Provider Enumeration Date: 12/14/2022
Last Update Date: 12/14/2022

Medicare PECOS Information:

PECOS PAC ID: 3870966062
Enrollment ID: I20230309001191

Medical Identifiers

Medical identifiers for Lacey Kang such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346952090	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	R227961 (Maryland)	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. Lacey Kang allows following entities to bill medicare on her behalf.

Entity Name	Maryland Family Care Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598718256 PECOS PAC ID: 5092629394 Enrollment ID: O20031119000273

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 Kang 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 Kang, CPNP 345 Saint Paul St, Baltimore, MD 21202-2123 Ph: () -	Lacey Kang, CPNP 345 Saint Paul St, Baltimore, MD 21202-2123 Ph: (410) 332-9000

Reviews and Comments

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Lacey Kang, CPNP - Medicare Nurse Practitioner in Baltimore, MD