Gerard V Lasalle, MD in Port Orchard, WA - Medicare General Practice

Gerard V Lasalle, MD is a medicare enrolled "General Practice" physician in Port Orchard, Washington. His current practice location is 1141 Beach Dr E, Port Orchard, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 895-4700.

Gerard V Lasalle is licensed to practice in Washington (license number MD00017511) 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 1376587899.

Contact Information

	Gerard V Lasalle, MD
	1141 Beach Dr E, Port Orchard, WA 98366-4937
	(360) 895-4700
	Not Available

Map and Direction

Physician's Profile

Full Name	Gerard V Lasalle
Gender	Male
Speciality	General Practice
Location	1141 Beach Dr E, Port Orchard, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376587899
Provider Enumeration Date: 06/15/2006
Last Update Date: 11/03/2023

Medicare PECOS Information:

PECOS PAC ID: 6901703164
Enrollment ID: I20231115003918

Medical Identifiers

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

Identifier	Type	State	Issuer
1376587899	NPI	-	NPPES
0190073	Other	WA	LIWA
0170816	Other	WA	LIWA
LA1174	Other	WA	BSWA
LA8001	Other	WA	BSWA
2165LA	Other	WA	BSWA
8328601	Medicaid	WA
0170825	Other	WA	LIWA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	MD00017511 (Washington)	Secondary
208D00000X	General Practice	MD00017511 (Washington)	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. Gerard V Lasalle allows following entities to bill medicare on his behalf.

Entity Name	Washington Pac Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336678168 PECOS PAC ID: 4082986070 Enrollment ID: O20170825002664

Entity Name	Wa Pacs 2 Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144706532 PECOS PAC ID: 6901156538 Enrollment ID: O20180831002235

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. Gerard V 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
Gerard V Lasalle, MD 1643 Nw 136th Ave., Bldg: H, Suite: 100 Msc 11607-0004, Sunrise, FL 33323 Ph: (865) 500-1856	Gerard V Lasalle, MD 1141 Beach Dr E, Port Orchard, WA 98366-4937 Ph: (360) 895-4700

Reviews and Comments

General Practice Doctors in Port Orchard, WA

Miss Joanne F Wright, LMP General Practice Medicare: Not Enrolled in Medicare Practice Location: 1008 Bethel Ave Ste A, Port Orchard, WA 98366 Phone: 360-895-7744 Fax: 360-895-1166
Dr. Jessica C Kennedy-schlicher, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 450 So. Kitsap Blvd, Suite 100, Port Orchard, WA 98366 Phone: 360-744-6275 Fax: 360-744-6270

Gerard V Lasalle, MD - Medicare General Practice in Port Orchard, WA