Mr Jose Ramil Lasala, ACNP-BC in Dearborn, MI

Mr Jose Ramil Lasala, ACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Dearborn, Michigan. He graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Henry Ford Medical Group, Beaumont Medical Group Hospital Based Services and his current practice location is 18101 Oakwood Blvd, Dearborn, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 982-5440.

Mr Jose Ramil Lasala is licensed to practice in Michigan (license number 4704229984) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1710284872.

Contact Information

	Mr Jose Ramil Lasala, ACNP-BC
	18101 Oakwood Blvd, Dearborn, MI 48124-4089
	(313) 982-5440
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Jose Ramil Lasala
Gender	Male
Speciality	Nurse Practitioner
Experience	14 Years
Location	18101 Oakwood Blvd, Dearborn, Michigan
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Jose Ramil Lasala graduated from nursing school in 2010

NPI Data:

NPI Number: 1710284872
Provider Enumeration Date: 02/24/2011
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 1759566532
Enrollment ID: I20110420000413

Medical Identifiers

Medical identifiers for Mr Jose Ramil Lasala such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710284872	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	4704229984 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Henry Ford Hospital	Detroit, MI	Hospital
Beaumont Hospital - Dearborn	Dearborn, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Henry Ford Medical Group	0547178311	2124
Beaumont Medical Group Hospital Based Services	3072875889	464

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. Mr Jose Ramil Lasala allows following entities to bill medicare on his behalf.

Entity Name	Henry Ford Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104900455 PECOS PAC ID: 0547178311 Enrollment ID: O20031210000341

Entity Name	Oakwood Ambulatory Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003829441 PECOS PAC ID: 1850282914 Enrollment ID: O20040320000401

Entity Name	Beaumont Medical Group Hospital Based Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427567858 PECOS PAC ID: 3072875889 Enrollment ID: O20180314001796

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. Mr Jose Ramil Lasala 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
Mr Jose Ramil Lasala, ACNP-BC 26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849 Ph: (947) 522-1863	Mr Jose Ramil Lasala, ACNP-BC 18101 Oakwood Blvd, Dearborn, MI 48124-4089 Ph: (313) 982-5440

Reviews and Comments

Nurse Practitioner Nurses in Dearborn, MI

Robin Wawersik, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18181 Oakwood Blvd Ste 207, Dearborn, MI 48124 Phone: 313-271-5565 Fax: 313-271-1053
Ms. Amira Hachem, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18220 Snow Ave, Dearborn, MI 48124 Phone: 313-502-7755
Sarah Naji, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7863 W Morrow Cir, Dearborn, MI 48126 Phone: 313-445-5271
Rana Mazraani, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15400 Michigan Ave, Dearborn, MI 48126 Phone: 313-584-3359
Dr. Fatmeh M Barada, DNP, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5728 Schaefer Rd Ste 103, Dearborn, MI 48126 Phone: 313-581-8080
Ibtihal Alghanimi, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5728 Schaefer Rd Ste 103, Dearborn, MI 48126 Phone: 313-581-8080
Katherine Anne Repp, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18181 Oakwood Blvd Ste 410, Dearborn, MI 48124 Phone: 313-982-5430

Mr Jose Ramil Lasala, ACNP-BC - Medicare Nurse Practitioner in Dearborn, MI