Carly Renae Lasure, PA is a medicare enrolled "Physician Assistant" physician in Tucson, Arizona. She graduated from medical school in 2021 and has 4 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Tucson Physician Group Holdings Llc, Southern Arizona Urgent Care Llc, Northwest Urgent Care Llc and her current practice location is
350 N Wilmot Rd, Tucson, Arizona. You can reach out to her office (for appointments etc.) via phone at
(520) 873-3000.
Carly Renae Lasure is licensed to practice in Arizona (license number 9354) 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 1427797604.
Physician's Profile
| Full Name | Carly Renae Lasure |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 4 Years |
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| Location | 350 N Wilmot Rd, Tucson, Arizona |
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| 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:
- Carly Renae Lasure graduated from medical school in 2021
NPI Data:
- NPI Number: 1427797604
- Provider Enumeration Date: 06/03/2022
- Last Update Date: 02/04/2025
Medicare PECOS Information:
- PECOS PAC ID: 8729434766
- Enrollment ID: I20231026002345
Medical Identifiers
Medical identifiers for Carly Renae Lasure such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1427797604 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208M00000X | Hospitalist | 9354 (Arizona) | Secondary |
| 363A00000X | Physician Assistant | 9354 (Arizona) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Tucson Physician Group Holdings Llc | 0547560070 | 187 |
| Southern Arizona Urgent Care Llc | 9335398031 | 26 |
| Northwest Urgent Care Llc | 9830506062 | 59 |
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. Carly Renae Lasure 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 |
Carly Renae Lasure, PA 3658 W Lantana Hills Pl, Tucson, AZ 85741-1159 Ph: () - | Carly Renae Lasure, PA 350 N Wilmot Rd, Tucson, AZ 85711-2602 Ph: (520) 873-3000 |
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