Lacie Shae Burge, NP in Winchester, IN - Medicare Nurse Practitioner

Lacie Shae Burge, NP is a medicare enrolled "Nurse Practitioner - Family" in Winchester, Indiana. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Urology Associates Llc and her current practice location is 400 South Oak Street, Randolph Medical Center, Winchester, Indiana. You can reach out to her office (for appointments etc.) via phone at (765) 584-6600.

Lacie Shae Burge is licensed to practice in Indiana (license number 71007164A) 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 1972043305.

Contact Information

	Lacie Shae Burge, NP
	400 South Oak Street, Randolph Medical Center, Winchester, IN 47394
	(765) 584-6600
	(765) 584-6503

Map and Direction

Provider's Profile

Full Name	Lacie Shae Burge
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	400 South Oak Street, Winchester, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Lacie Shae Burge graduated from nursing school in 2017

NPI Data:

NPI Number: 1972043305
Provider Enumeration Date: 03/04/2017
Last Update Date: 08/28/2024

Medicare PECOS Information:

PECOS PAC ID: 2264700814
Enrollment ID: I20170622002022

Medical Identifiers

Medical identifiers for Lacie Shae Burge such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972043305	NPI	-	NPPES
P02622733	Other	IN	RAILROAD PTAN
224040161	Other	IN	MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	71007164A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Indiana University Health Ball Memorial Hospital	Muncie, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Urology Associates Llc	5799876678	9

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. Lacie Shae Burge allows following entities to bill medicare on her behalf.

Entity Name	Indiana University Health Ball Memorial Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235455544 PECOS PAC ID: 9537072640 Enrollment ID: O20031110000505

Entity Name	Urology Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326093147 PECOS PAC ID: 5799876678 Enrollment ID: O20070807000354

Entity Name	Reid Physician Associates, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265689111 PECOS PAC ID: 6406910769 Enrollment ID: O20090130000573

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. Lacie Shae Burge 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
Lacie Shae Burge, NP 1100 Reid Parkway, Medical Staff Services, Richmond, IN 47374 Ph: (765) 584-6600	Lacie Shae Burge, NP 400 South Oak Street, Randolph Medical Center, Winchester, IN 47394 Ph: (765) 584-6600

Reviews and Comments

Nurse Practitioner Nurses in Winchester, IN

Pauletta J Hummel, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 473 E Greenville Ave, Winchester, IN 47394 Phone: 765-584-0240
Amanda K Clevenger, APRN-NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 409 E Greenville Ave, Winchester, IN 47394 Phone: 765-584-0480
Mrs. Lisa Marcella Moore, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 409 Se Greenville Ave, Winchester, IN 47394 Phone: 765-584-0480
Kelly J Campbell, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 409 E Greenville Ave, Suite 300, Winchester, IN 47394 Phone: 765-584-0480
Alice Pauline Watkins, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 108 E Hospital Dr, Winchester, IN 47394 Phone: 765-584-1639 Fax: 765-584-4711
Katherine Jean Wadsworth, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 409 Se Greenville Ave, Winchester, IN 47394 Phone: 765-584-0480
Samantha M Morris, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 409 E Greenville Ave, Winchester, IN 47394 Phone: 765-584-0480

Lacie Shae Burge, NP - Medicare Nurse Practitioner in Winchester, IN