Lacey Erickson Haas, is a medicare enrolled "Physical Therapist" provider in Alpine, Wyoming. She graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Four Pines Physical Therapy, Pc and her current practice location is
94 Emerger Ave, Alpine, Wyoming. You can reach out to her office (for appointments etc.) via phone at
(307) 733-5577.
Lacey Erickson Haas is licensed to practice in Wyoming (license number 2134) 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 1053543843.
Healthcare Provider's Profile
Full Name | Lacey Erickson Haas |
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Gender | Female |
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Speciality | Physical Therapy |
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Experience | 15 Years |
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Location | 94 Emerger Ave, Alpine, Wyoming |
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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. |
Medical Education and Training:
- Lacey Erickson Haas graduated from medical school in 2009
NPI Data:
- NPI Number: 1053543843
- Provider Enumeration Date: 08/13/2009
- Last Update Date: 10/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 7012304751
- Enrollment ID: I20220427000568
Medical Identifiers
Medical identifiers for Lacey Erickson Haas such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053543843 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 7346634-2401 (Utah) | Secondary |
225100000X | Physical Therapist | 2134 (Wyoming) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Four Pines Physical Therapy, Pc | 8224011424 | 14 |
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. Lacey Erickson Haas allows following entities to bill medicare on her behalf.
Provider Name | Four Pines Physical Therapy, Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1013090539 PECOS PAC ID: 8224011424 Enrollment ID: O20040609000915 |
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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. Lacey Erickson Haas 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 |
Lacey Erickson Haas, Po Box 2832, Alpine, WY 83128-2608 Ph: (801) 725-1335 | Lacey Erickson Haas, 94 Emerger Ave, Alpine, WY 83128 Ph: (307) 733-5577 |
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