Laci Renae Robertson, in Fort Payne, AL - Medicare Nurse Practitioner

Laci Renae Robertson, is a medicare enrolled "Nurse Practitioner" in Fort Payne, Alabama. She went to University Of South Alabama College Of Medicine and graduated in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Renew Family Dermatology and her current practice location is 212 Airport Road W, Fort Payne, Alabama. You can reach out to her office (for appointments etc.) via phone at (256) 979-1250.

Laci Renae Robertson is licensed to practice in Alabama (license number 1-132480) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1407449721.

Contact Information

	Laci Renae Robertson,
	212 Airport Road W, Fort Payne, AL 35968
	(256) 979-1250
	Not Available

Map and Direction

Provider's Profile

Full Name	Laci Renae Robertson
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	212 Airport Road W, Fort Payne, Alabama
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Laci Renae Robertson attended and graduated from University Of South Alabama College Of Medicine in 2020

NPI Data:

NPI Number: 1407449721
Provider Enumeration Date: 02/17/2021
Last Update Date: 05/31/2024

Medicare PECOS Information:

PECOS PAC ID: 3870994874
Enrollment ID: I20210629000515

Medical Identifiers

Medical identifiers for Laci Renae Robertson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407449721	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1-132480 (Alabama)	Secondary
363L00000X	Nurse Practitioner	1-132480 (Alabama)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Renew Family Dermatology	2466789839	6

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. Laci Renae Robertson allows following entities to bill medicare on her behalf.

Entity Name	Renew Family Dermatology
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275198913 PECOS PAC ID: 2466789839 Enrollment ID: O20190807002884

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. Laci Renae Robertson 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
Laci Renae Robertson, Po Box 680256, Fort Payne, AL 35968-1603 Ph: (256) 979-1250	Laci Renae Robertson, 212 Airport Road W, Fort Payne, AL 35968 Ph: (256) 979-1250

Reviews and Comments

Nurse Practitioner Nurses in Fort Payne, AL

Shannon Hilley, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2605 Gault Ave N Ste 200, Fort Payne, AL 35967 Phone: 256-997-2855
Lauren Obenlander, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2202 Jordan Rd Sw Ste 300, Fort Payne, AL 35968 Phone: 256-844-2911
Jennifer Frances Hand, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1359 Old Water Works Rd Sw, Fort Payne, AL 35968 Phone: 256-997-5900
Corazon P Alvarado, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2202 Jordan Rd Sw, Fort Payne, AL 35968 Phone: 256-844-2825 Fax: 256-844-1804
Janna Kay Culpepper, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1359 Old Water Works Rd Sw, Fort Payne, AL 35968 Phone: 256-997-5900 Fax: 888-977-1691
Micah Miranda Hilyer, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3840 Gault Ave N, Fort Payne, AL 35967 Phone: 256-844-4975 Fax: 256-844-4978
Sarah Elizabeth Gilreath, MSN, PMHNP-BC, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1359 Old Water Works Rd Sw, Fort Payne, AL 35968 Phone: 256-997-5900

Laci Renae Robertson, - Medicare Nurse Practitioner in Fort Payne, AL