Lacie Petro, MD in Normal, IL - Medicare Family Practice

Lacie Petro, MD is a medicare enrolled "Family Medicine" physician in Normal, Illinois. She graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Carle West Physician Group Inc and her current practice location is 1302 Franklin Ave Ste 1100, Normal, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 268-5620.

Lacie Petro is licensed to practice in Illinois (license number 036119502) 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 1619189859.

Contact Information

	Lacie Petro, MD
	1302 Franklin Ave Ste 1100, Normal, IL 61761-0016
	(309) 268-5620
	(309) 661-6226

Map and Direction

Physician's Profile

Full Name	Lacie Petro
Gender	Female
Speciality	Family Practice
Experience	19 Years
Location	1302 Franklin Ave Ste 1100, Normal, Illinois
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:

Lacie Petro graduated from medical school in 2005

NPI Data:

NPI Number: 1619189859
Provider Enumeration Date: 05/03/2007
Last Update Date: 02/12/2021

Medicare PECOS Information:

PECOS PAC ID: 9133294333
Enrollment ID: I20080822000493

Medical Identifiers

Medical identifiers for Lacie Petro such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619189859	NPI	-	NPPES
833120	Other	IL	MEDICARE GROUP PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	125-050112 (Illinois)	Secondary
207Q00000X	Family Medicine	036119502 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Carle Home Care	Champaign, IL	Home health agency
Advocate Bromenn Medical Center	Normal, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Carle West Physician Group Inc	8921420308	254

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. Lacie Petro allows following entities to bill medicare on her behalf.

Entity Name	Carle West Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147

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. Lacie Petro 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
Lacie Petro, MD 611 W. Park St., Fapc, Urbana, IL 61801 Ph: () -	Lacie Petro, MD 1302 Franklin Ave Ste 1100, Normal, IL 61761-0016 Ph: (309) 268-5620

Reviews and Comments

Family Medicine Doctors in Normal, IL

Dr. Rachel Christine Dalal, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1300 Franklin Ave Ste 100, Normal, IL 61761 Phone: 309-268-3761 Fax: 309-268-5620
Ashraf Abdeljaber, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1304 Franklin Ave Ste 380, Normal, IL 61761 Phone: 309-268-3598
John A. Pollastrini, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1302 Franklin Ave Ste 1100, Normal, IL 61761 Phone: 309-268-2727 Fax: 309-268-6513
George Gerolimatos, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1304 Franklin Ave, Normal, IL 61761 Phone: 309-268-3558
James Steven Vales, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 109 Veronica Way, Normal, IL 61761 Phone: 309-454-4698
Susan Rausch, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2200 Fort Jesse Rd, Suite 110, Normal, IL 61761 Phone: 309-661-6290 Fax: 309-451-1354
Dr. Unnati Upadhyay, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1300 Franklin Ave, Normal, IL 61761 Phone: 309-268-3598

Lacie Petro, MD - Medicare Family Practice in Normal, IL