Mr Nicholas Fredrick Lawrence, is a medicare enrolled "Speech-language Pathologist" provider in Mancos, Colorado. His current practice location is
515 Grand Ave, Ste E, Mancos, Colorado. You can reach out to his office (for appointments etc.) via phone at
(970) 459-1179.
Mr Nicholas Fredrick Lawrence is licensed to practice in Arizona (license number 6059) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1881032514.
Healthcare Provider's Profile
Full Name | Mr Nicholas Fredrick Lawrence |
---|
Gender | Male |
---|
Speciality | Speech-language Pathologist |
---|
Location | 515 Grand Ave, Mancos, Colorado |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1881032514
- Provider Enumeration Date: 06/04/2013
- Last Update Date: 06/04/2013
Medicare PECOS Information:
- PECOS PAC ID: 5698158988
- Enrollment ID: I20220819000343
Medical Identifiers
Medical identifiers for Mr Nicholas Fredrick Lawrence such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881032514 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 6059 (Arizona) | 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. Mr Nicholas Fredrick Lawrence allows following entities to bill medicare on his behalf.
Provider Name | Lawrence Speech And Hearing Services |
---|
Provider Type | Part B Supplier - Clinic/group Practice |
---|
Provider Identifiers | NPI Number: 1174896872 PECOS PAC ID: 2365842614 Enrollment ID: O20210609000028 |
---|
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. Mr Nicholas Fredrick Lawrence 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 |
Mr Nicholas Fredrick Lawrence, 515 Grand Ave, Ste E, Mancos, CO 81328-9245 Ph: (970) 459-1179 | Mr Nicholas Fredrick Lawrence, 515 Grand Ave, Ste E, Mancos, CO 81328-9245 Ph: (970) 459-1179 |
Reviews and Comments