Mrs Laci Lynn Reilly, APRN is a medicare enrolled "Nurse Practitioner - Family" in Copenhagen, New York. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Lewis County General Hospital and her current practice location is
9732 State Route 12, Copenhagen, New York. You can reach out to her office (for appointments etc.) via phone at
(719) 250-1131.
Mrs Laci Lynn Reilly is licensed to practice in New York (license number 352408) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1215530522.
Provider's Profile
| Full Name | Mrs Laci Lynn Reilly |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 3 Years |
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| Location | 9732 State Route 12, Copenhagen, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Laci Lynn Reilly graduated from nursing school in 2021
NPI Data:
- NPI Number: 1215530522
- Provider Enumeration Date: 11/18/2020
- Last Update Date: 12/05/2023
Medicare PECOS Information:
- PECOS PAC ID: 0446647515
- Enrollment ID: I20231016002783
Medical Identifiers
Medical identifiers for Mrs Laci Lynn Reilly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1215530522 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 352408 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Lewis County General Hospital | 2668463779 | 35 |
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. Mrs Laci Lynn Reilly allows following entities to bill medicare on her behalf.
| Entity Name | Lewis County General Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790857308
PECOS PAC ID: 2668463779
Enrollment ID: O20040901000113 |
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| Entity Name | Lewis County General Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568534303
PECOS PAC ID: 2668463779
Enrollment ID: O20040901000160 |
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| Entity Name | Lewis County General Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659433217
PECOS PAC ID: 2668463779
Enrollment ID: O20041006001059 |
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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. Mrs Laci Lynn Reilly 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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Mrs Laci Lynn Reilly, APRN
9732 State Route 12,
Copenhagen, NY 13626-2906
Ph: (719) 250-1131 | Mrs Laci Lynn Reilly, APRN
9732 State Route 12,
Copenhagen, NY 13626-2906
Ph: (719) 250-1131 |
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