Lacie Lynann Sanderson, PA-C is a medicare enrolled "Physician Assistant" in Newport, Pennsylvania. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Newport Family Practice Pc and her current practice location is
52 Red Hill Ct, Newport, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(717) 567-3151.
Lacie Lynann Sanderson is licensed to practice in Pennsylvania (license number MA056200) 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 1578900890.
Provider's Profile
| Full Name | Lacie Lynann Sanderson |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 11 Years |
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| Location | 52 Red Hill Ct, Newport, Pennsylvania |
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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:
- Lacie Lynann Sanderson graduated from nursing school in 2013
NPI Data:
- NPI Number: 1578900890
- Provider Enumeration Date: 05/28/2013
- Last Update Date: 08/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 7810121944
- Enrollment ID: I20131003000460
Medical Identifiers
Medical identifiers for Lacie Lynann Sanderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578900890 | NPI | - | NPPES |
| 1031860430001 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | MA056200 (Pennsylvania) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Newport Family Practice Pc | 0840477568 | 5 |
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. Lacie Lynann Sanderson 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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Lacie Lynann Sanderson, PA-C
7 Dock Hill Rd,
Middleburg, PA 17842-8910
Ph: (570) 837-2123 | Lacie Lynann Sanderson, PA-C
52 Red Hill Ct,
Newport, PA 17074-8706
Ph: (717) 567-3151 |
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