Tiffany Lasalle, CNM in Colorado Springs, CO - Medicare Advanced Practice Midwife

Tiffany Lasalle, CNM is a medicare enrolled "Advanced Practice Midwife" in Colorado Springs, Colorado. Her current practice location is 6705 Rangewood Dr, Colorado Springs, Colorado. You can reach out to her office (for appointments etc.) via phone at (719) 599-7331.

Tiffany Lasalle is licensed to practice in Colorado (license number APN.0997147-CNM) 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 1861146896.

Contact Information

	Tiffany Lasalle, CNM
	6705 Rangewood Dr, Colorado Springs, CO 80918-7300
	(719) 599-7331
	Not Available

Map and Direction

Provider's Profile

Full Name	Tiffany Lasalle
Gender	Female
Speciality	Advanced Practice Midwife
Location	6705 Rangewood Dr, Colorado Springs, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861146896
Provider Enumeration Date: 02/08/2022
Last Update Date: 03/27/2023

Medicare PECOS Information:

PECOS PAC ID: 4284021783
Enrollment ID: I20220503000011

Medical Identifiers

Medical identifiers for Tiffany Lasalle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861146896	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	1660684 (Colorado)	Secondary
367A00000X	Advanced Practice Midwife	APN.0997147-CNM (Colorado)	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. Tiffany Lasalle allows following entities to bill medicare on her behalf.

Entity Name	Poudre Valley Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366763260 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122

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. Tiffany Lasalle 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
Tiffany Lasalle, CNM 4597 Gold Medal Pt Apt 120, Colorado Springs, CO 80923-7372 Ph: (817) 925-8491	Tiffany Lasalle, CNM 6705 Rangewood Dr, Colorado Springs, CO 80918-7300 Ph: (719) 599-7331

Reviews and Comments

Advanced Practice Midwife Nurses in Colorado Springs, CO

Rachel Lynn Wood, RN, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 3480 Centennial Blvd, Colorado Springs, CO 80907 Phone: 800-230-7526
Kelli J Neely, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 225 S Union Blvd, Second Floor, Colorado Springs, CO 80910 Phone: 719-632-5700 Fax: 719-344-7830
Erin Williams Sherman, CNM, APRN Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 9475 Briar Village Pt, Colorado Springs, CO 80920 Phone: 940-571-9367 Fax: 719-434-9777
Megan Dickey, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 6705 Rangewood Dr, Colorado Springs, CO 80918 Phone: 719-599-7331 Fax: 719-390-1333
Mrs. Amy Lunell Spotanski, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 559 Vincent St, Colorado Springs, CO 80914 Phone: 937-257-0837
Mrs. Marjorie J Morris Lundgren, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 6071 E Woodmen Rd Ste 405, Colorado Springs, CO 80923 Phone: 719-442-0808 Fax: 719-622-3400
Lauren Sirvaitis, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 3803 Manchester St, Colorado Springs, CO 80907 Phone: 719-428-5552

Tiffany Lasalle, CNM - Medicare Advanced Practice Midwife in Colorado Springs, CO