Mr Randy Wayne Lasut Jr, CRNP FNP-C - Medicare Nurse Practitioner in New Paris, PA

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Mr Randy Wayne Lasut Jr, CRNP FNP-C is a medicare enrolled "Nurse Practitioner - Family" in New Paris, Pennsylvania. His current practice location is 4186 Cortland Dr, New Paris, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (814) 839-4108.

Mr Randy Wayne Lasut Jr is licensed to practice in Pennsylvania (license number SP029010) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1063282994.

Contact Information

Mr Randy Wayne Lasut Jr, CRNP FNP-C
4186 Cortland Dr,
New Paris, PA 15554-7706
(814) 839-4108
Not Available

Map and Direction




Provider's Profile

Full NameMr Randy Wayne Lasut Jr
GenderMale
SpecialityNurse Practitioner - Family
Location4186 Cortland Dr, New Paris, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063282994
  • Provider Enumeration Date: 01/02/2024
  • Last Update Date: 07/30/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8820433089
  • Enrollment ID: I20240318003711

Medical Identifiers

Medical identifiers for Mr Randy Wayne Lasut Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063282994NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family SP029010 (Pennsylvania)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. Mr Randy Wayne Lasut Jr allows following entities to bill medicare on his behalf.
Entity NameOrchard Valley Physician Services Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083377345
PECOS PAC ID: 4385028034
Enrollment ID: O20230222002758

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 Randy Wayne Lasut Jr 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 AddressPractice Location Address
Mr Randy Wayne Lasut Jr, CRNP FNP-C
4186 Cortland Dr,
New Paris, PA 15554-7706

Ph: (814) 839-4108		Mr Randy Wayne Lasut Jr, CRNP FNP-C
4186 Cortland Dr,
New Paris, PA 15554-7706

Ph: (814) 839-4108

Reviews and Comments


Nurse Practitioner Nurses in New Paris, PA

Brittany Cogan, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4186 Cortland Dr, New Paris, PA 15554
Phone: 814-839-4108    
Mrs. Christine Renee Brocious, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4186 Cortland Dr, New Paris, PA 15554
Phone: 814-839-4108    
Alaina Royanne Heeter, CRNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4186 Cortland Dr, New Paris, PA 15554
Phone: 814-839-4108    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.