Valarie Lasala, is a medicare enrolled "Nurse Practitioner - Adult Health" in Port Jeff Sta, New York. She went to State University Of New York At Stony Brook, School Of Medicine and graduated in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice John T Mather Memorial Hospital and her current practice location is
75 N Country Rd, Port Jeff Sta, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 473-1320.
Valarie Lasala is licensed to practice in New York (license number F309239-01) 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 1134781552.
Provider's Profile
| Full Name | Valarie Lasala |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 75 N Country Rd, Port Jeff Sta, 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:
- Valarie Lasala attended and graduated from State University Of New York At Stony Brook, School Of Medicine in 2019
NPI Data:
- NPI Number: 1134781552
- Provider Enumeration Date: 07/05/2019
- Last Update Date: 07/05/2019
Medicare PECOS Information:
- PECOS PAC ID: 8426481706
- Enrollment ID: I20191126002334
Medical Identifiers
Medical identifiers for Valarie Lasala such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1134781552 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LA2200X | Nurse Practitioner - Adult Health | F309239-01 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| John T Mather Memorial Hospital | 1254237753 | 140 |
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. Valarie Lasala allows following entities to bill medicare on her behalf.
| Entity Name | John T Mather Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932296316
PECOS PAC ID: 1254237753
Enrollment ID: O20040316000754 |
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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. Valarie Lasala 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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Valarie Lasala,
16 Inlet View Dr,
Southampton, NY 11968-3605
Ph: () - | Valarie Lasala,
75 N Country Rd,
Port Jeff Sta, NY 11777-2190
Ph: (631) 473-1320 |
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