Lacey Janelle-richy Burton, PT, DPT in Bayonne, NJ - Medicare Physical Therapist Provider

Lacey Janelle-richy Burton, PT, DPT is a medicare enrolled "Physical Therapist" provider in Bayonne, New Jersey. Her current practice location is 654 Broadway Fl 2, Bayonne, New Jersey. You can reach out to her office (for appointments etc.) via phone at (201) 354-4410.

Lacey Janelle-richy Burton is licensed to practice in New Jersey (license number 40QA02124300) 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 1376264101.

Contact Information

	Lacey Janelle-richy Burton, PT, DPT
	654 Broadway Fl 2, Bayonne, NJ 07002-6555
	(201) 354-4410
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Lacey Janelle-richy Burton
Gender	Female
Speciality	Physical Therapist
Location	654 Broadway Fl 2, Bayonne, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376264101
Provider Enumeration Date: 09/09/2022
Last Update Date: 09/09/2022

Medicare PECOS Information:

PECOS PAC ID: 6800264649
Enrollment ID: I20221129000080

Medical Identifiers

Medical identifiers for Lacey Janelle-richy Burton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376264101	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	40QA02124300 (New Jersey)	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. Lacey Janelle-richy Burton allows following entities to bill medicare on her behalf.

Provider Name	Jag-one Physical Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1518017144 PECOS PAC ID: 2769584325 Enrollment ID: O20070228000306

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 Janelle-richy Burton 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 Janelle-richy Burton, PT, DPT 981 Us Highway 22 Fl 2, Bridgewater, NJ 08807-2946 Ph: (201) 801-7141	Lacey Janelle-richy Burton, PT, DPT 654 Broadway Fl 2, Bayonne, NJ 07002-6555 Ph: (201) 354-4410

Reviews and Comments

Physical Therapist in Bayonne, NJ

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Lacey Janelle-richy Burton, PT, DPT - Medicare Physical Therapist in Bayonne, NJ