Mrs Lacy Champagne Mills, FNP in Mandeville, LA

Mrs Lacy Champagne Mills, FNP is a medicare enrolled "Nurse Practitioner - Family" in Mandeville, Louisiana. Her current practice location is 4430 Highway 22, Mandeville, Louisiana. You can reach out to her office (for appointments etc.) via phone at (985) 626-3470.

Mrs Lacy Champagne Mills is licensed to practice in Louisiana (license number RN106360-AP06092) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1477873362.

Contact Information

	Mrs Lacy Champagne Mills, FNP
	4430 Highway 22, Mandeville, LA 70471-3310
	(985) 626-3470
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Lacy Champagne Mills
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4430 Highway 22, Mandeville, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477873362
Provider Enumeration Date: 06/03/2010
Last Update Date: 05/01/2012

Medicare PECOS Information:

PECOS PAC ID: 3971780479
Enrollment ID: I20110610000022

Medical Identifiers

Medical identifiers for Mrs Lacy Champagne Mills such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477873362	NPI	-	NPPES
2167537	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN106360-AP06092 (Louisiana)	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. Mrs Lacy Champagne Mills allows following entities to bill medicare on her behalf.

Entity Name	Northlake Medicine And Wellness Center, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073693958 PECOS PAC ID: 5597764183 Enrollment ID: O20061208000218

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 Lacy Champagne Mills 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
Mrs Lacy Champagne Mills, FNP 54190 Sweetwater Rd, Independence, LA 70443-2002 Ph: (985) 878-0938	Mrs Lacy Champagne Mills, FNP 4430 Highway 22, Mandeville, LA 70471-3310 Ph: (985) 626-3470

Reviews and Comments

Nurse Practitioner Nurses in Mandeville, LA

Charlotte Michelle Fuller, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4430 Highway 22, Mandeville, LA 70471 Phone: 985-626-3470 Fax: 985-674-5377
Brandi Gill Mcandrew, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1901 Highway 190 Ste 9, Mandeville, LA 70448 Phone: 985-778-0552
Shari Ann Taylor, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4050 Lonesome Rd Ste A, Mandeville, LA 70448 Phone: 985-246-2600 Fax: 985-246-2601
Mrs. Analiese Michelle Hand, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 23251 S Robin Rd, Suite 103, Mandeville, LA 70448 Phone: 985-951-4716
Ms. Jennifer Thomas, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 Saint Ann Dr, Suite B, Mandeville, LA 70471 Phone: 985-626-1717 Fax: 985-674-2814
Kelsey Anne St. Arnaud, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 Saint Ann Dr Ste B, Mandeville, LA 70471 Phone: 985-626-1717 Fax: 985-674-2814
Emily Robichaux, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1305 W Causeway Approach, Mandeville, LA 70471 Phone: 985-674-2227

Mrs Lacy Champagne Mills, FNP - Medicare Nurse Practitioner in Mandeville, LA