Renee Lagrange, FNP-C in Lafayette, LA - Medicare Nurse Practitioner

Renee Lagrange, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Lafayette, Louisiana. Her current practice location is 120 Rue Louis Xiv Bldg 2, Lafayette, Louisiana. You can reach out to her office (for appointments etc.) via phone at (337) 233-6665.

Renee Lagrange is licensed to practice in Louisiana (license number 229489) 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 1699473793.

Contact Information

	Renee Lagrange, FNP-C
	120 Rue Louis Xiv Bldg 2, Lafayette, LA 70508-5739
	(337) 233-6665
	(337) 534-0179

Map and Direction

Provider's Profile

Full Name	Renee Lagrange
Gender	Female
Speciality	Nurse Practitioner - Family
Location	120 Rue Louis Xiv Bldg 2, Lafayette, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699473793
Provider Enumeration Date: 02/17/2023
Last Update Date: 02/17/2023

Medicare PECOS Information:

PECOS PAC ID: 3870944028
Enrollment ID: I20240111003855

Medical Identifiers

Medical identifiers for Renee Lagrange such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699473793	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	229489 (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. Renee Lagrange allows following entities to bill medicare on her behalf.

Entity Name	Southern Urology Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740441955 PECOS PAC ID: 5597833772 Enrollment ID: O20081002000001

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. Renee Lagrange 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
Renee Lagrange, FNP-C 1025 Mims Ln, Breaux Bridge, LA 70517-7205 Ph: (337) 962-6231	Renee Lagrange, FNP-C 120 Rue Louis Xiv Bldg 2, Lafayette, LA 70508-5739 Ph: (337) 233-6665

Reviews and Comments

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Renee Lagrange, FNP-C - Medicare Nurse Practitioner in Lafayette, LA