Lara Nicole Mackintosh, RN in Concord, CA - Medicare Nurse Practitioner

Lara Nicole Mackintosh, RN is a medicare enrolled "Nurse Practitioner - Family" in Concord, California. Her current practice location is 2182 East St, Concord, California. You can reach out to her office (for appointments etc.) via phone at (512) 828-3990.

Lara Nicole Mackintosh is licensed to practice in California (license number 95016874) 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 1285262139.

Contact Information

	Lara Nicole Mackintosh, RN
	2182 East St, Concord, CA 94520-2012
	(512) 828-3990
	Not Available

Map and Direction

Provider's Profile

Full Name	Lara Nicole Mackintosh
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2182 East St, Concord, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285262139
Provider Enumeration Date: 03/27/2020
Last Update Date: 10/04/2021

Medicare PECOS Information:

PECOS PAC ID: 4880098144
Enrollment ID: I20210809001502

Medical Identifiers

Medical identifiers for Lara Nicole Mackintosh such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285262139	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95016874 (California)	Primary
163WP0200X	Registered Nurse - Pediatrics	926216 (Texas)	Secondary

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. Lara Nicole Mackintosh 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
Lara Nicole Mackintosh, RN 8524 Bellancia Dr, Austin, TX 78738-7621 Ph: (702) 672-9922	Lara Nicole Mackintosh, RN 2182 East St, Concord, CA 94520-2012 Ph: (512) 828-3990

Reviews and Comments

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Lara Nicole Mackintosh, RN - Medicare Nurse Practitioner in Concord, CA