Lacy Katowich, FNP in Mishawaka, IN - Medicare Nurse Practitioner

Lacy Katowich, FNP is a medicare enrolled "Nurse Practitioner - Family" in Mishawaka, Indiana. Her current practice location is 1802 Day Rd, Mishawaka, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 204-7200.

Lacy Katowich is licensed to practice in Indiana (license number F09201325) 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 1902421076.

Contact Information

	Lacy Katowich, FNP
	1802 Day Rd, Mishawaka, IN 46545-4329
	(574) 204-7200
	Not Available

Map and Direction

Provider's Profile

Full Name	Lacy Katowich
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1802 Day Rd, Mishawaka, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902421076
Provider Enumeration Date: 06/14/2020
Last Update Date: 04/07/2023

Medicare PECOS Information:

PECOS PAC ID: 5698130904
Enrollment ID: I20230420000411

Medical Identifiers

Medical identifiers for Lacy Katowich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902421076	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	28151346A (Indiana)	Secondary
363LF0000X	Nurse Practitioner - Family	F09201325 (Indiana)	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. Lacy Katowich allows following entities to bill medicare on her behalf.

Entity Name	The South Bend Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073680419 PECOS PAC ID: 3779577937 Enrollment ID: O20040412000439

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. Lacy Katowich 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
Lacy Katowich, FNP 1802 Day Rd, Mishawaka, IN 46545-4329 Ph: (572) 204-7200	Lacy Katowich, FNP 1802 Day Rd, Mishawaka, IN 46545-4329 Ph: (574) 204-7200

Reviews and Comments

Nurse Practitioner Nurses in Mishawaka, IN

Kyla M Schauss, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 413 W Mckinley Ave Ste D, Mishawaka, IN 46545 Phone: 574-282-3230 Fax: 574-282-3240
Teresa Marie Dobrzykowski, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 316 Indian Ridge Blvd, Mishawaka, IN 46545 Phone: 800-635-5516
Amy Brown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5215 Holy Cross Pkwy, Mishawaka, IN 46545 Phone: 574-335-5000
Mrs. Oluyinka Grace Osunnuga, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1540 Trinity Pl, Mishawaka, IN 46545 Phone: 765-674-3321
Shea Lee Warner, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 231 W Day Rd, Mishawaka, IN 46545 Phone: 574-335-4700
Mrs. Blair Renee Herrman, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 524 E Mckinley Ave, Mishawaka, IN 46545 Phone: 574-256-2556
Juanita Marie Roberts, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1625 E Jefferson Blvd, Mishawaka, IN 46545 Phone: 574-255-1400

Lacy Katowich, FNP - Medicare Nurse Practitioner in Mishawaka, IN