Tami S Lasala, NP in Freeport, IL - Medicare Nurse Practitioner

Tami S Lasala, NP is a medicare enrolled "Nurse Practitioner" in Freeport, Illinois. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ksb Medical Group Inc, Freeport Memorial Hospital and her current practice location is 1045 W Stephenson St, Freeport, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 599-6000.

Tami S Lasala is licensed to practice in Illinois (license number 209012349) 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 1619303542.

Contact Information

	Tami S Lasala, NP
	1045 W Stephenson St, Freeport, IL 61032-4864
	(815) 599-6000
	(815) 599-6933

Map and Direction

Provider's Profile

Full Name	Tami S Lasala
Gender	Female
Speciality	Nurse Practitioner
Experience	11 Years
Location	1045 W Stephenson St, Freeport, 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:

Tami S Lasala graduated from nursing school in 2013

NPI Data:

NPI Number: 1619303542
Provider Enumeration Date: 09/24/2013
Last Update Date: 11/07/2018

Medicare PECOS Information:

PECOS PAC ID: 1951537125
Enrollment ID: I20150316002494

Medical Identifiers

Medical identifiers for Tami S Lasala such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619303542	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	041306876 (Illinois)	Secondary
363L00000X	Nurse Practitioner	5512-33 (Wisconsin)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	5512-33 (Wisconsin)	Secondary
363L00000X	Nurse Practitioner	209012349 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Fhn Memorial Hospital	Freeport, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ksb Medical Group Inc	7911890009	78
Freeport Memorial Hospital	8426958232	105

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. Tami S Lasala allows following entities to bill medicare on her behalf.

Entity Name	Freeport Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447228788 PECOS PAC ID: 8426958232 Enrollment ID: O20040109000305

Entity Name	Ksb Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073592119 PECOS PAC ID: 7911890009 Enrollment ID: O20040203000860

Entity Name	In Home Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497087175 PECOS PAC ID: 3779612395 Enrollment ID: O20100520000116

Entity Name	Cardiorenal Therapeutics Of Illinois Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336752682 PECOS PAC ID: 5395159677 Enrollment ID: O20210127003081

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. Tami S Lasala 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
Tami S Lasala, NP Po Box 857, Freeport, IL 61032-0857 Ph: (815) 599-7925	Tami S Lasala, NP 1045 W Stephenson St, Freeport, IL 61032-4864 Ph: (815) 599-6000

Reviews and Comments

Nurse Practitioner Nurses in Freeport, IL

Shannon Kaye Lizer, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1301 Kiwanis Dr, Freeport, IL 61032 Phone: 815-235-4881
Danielle E Siedschlag, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25 N Harlem Ave, Freeport, IL 61032 Phone: 815-599-7750
Tamisha Bonvillain, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1010 Fairway Dr, Freeport, IL 61032 Phone: 815-599-6000
Lynda A Shiro, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1010 Fairway Dr, Freeport, IL 61032 Phone: 815-599-7740 Fax: 815-599-7983
Mrs. Susan Marie Tuell, F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 667 W Fairview Rd, Freeport, IL 61032 Phone: 815-233-5734 Fax: 815-233-5754
Judy Cullor, APRN FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1010 Fairway Dr, Freeport, IL 61032 Phone: 815-599-7730
Mrs. Michelle Leigh Volling, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 750 S. Kiwanis Dr, Freeport, IL 61032 Phone: 815-235-4881 Fax: 815-232-4614

Tami S Lasala, NP - Medicare Nurse Practitioner in Freeport, IL