Mr Stephen Lavalley, CNP is a medicare enrolled "Nurse Practitioner - Family" in Racine, Ohio. His current practice location is
207 5th St, Racine, Ohio. You can reach out to his office (for appointments etc.) via phone at
(740) 949-2683.
Mr Stephen Lavalley is licensed to practice in Ohio (license number 0035841) 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 1508623653.
Provider's Profile
| Full Name | Mr Stephen Lavalley |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 207 5th St, Racine, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1508623653
- Provider Enumeration Date: 03/05/2024
- Last Update Date: 04/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 5698113868
- Enrollment ID: I20240406000386
Medical Identifiers
Medical identifiers for Mr Stephen Lavalley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1508623653 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 89526 (West Virginia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 118685 (West Virginia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 0035841 (Ohio) | 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 Stephen Lavalley allows following entities to bill medicare on his behalf.
| Entity Name | Ohiohealth Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578545273
PECOS PAC ID: 6305758426
Enrollment ID: O20031105000532 |
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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 Stephen Lavalley 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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Mr Stephen Lavalley, CNP
Po Box 7527,
Dublin, OH 43017-0727
Ph: () - | Mr Stephen Lavalley, CNP
207 5th St,
Racine, OH 45771-5012
Ph: (740) 949-2683 |
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