Christina Lynn Lasich, MD is a medicare enrolled "Physical Medicine & Rehabilitation - Pain Medicine" physician in Ukiah, California. Her current practice location is
333 Laws Ave, Ukiah, California. You can reach out to her office (for appointments etc.) via phone at
(707) 468-1010.
Christina Lynn Lasich is licensed to practice in California (license number A68111) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1679557862.
Physician's Profile
| Full Name | Christina Lynn Lasich |
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| Gender | Female |
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| Speciality | Physical Medicine & Rehabilitation - Pain Medicine |
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| Location | 333 Laws Ave, Ukiah, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1679557862
- Provider Enumeration Date: 12/01/2005
- Last Update Date: 05/16/2021
Medicare PECOS Information:
- PECOS PAC ID: 1052455177
- Enrollment ID: I20100212000407
Medical Identifiers
Medical identifiers for Christina Lynn Lasich such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1679557862 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | A68111 (California) | 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. Christina Lynn Lasich allows following entities to bill medicare on her behalf.
| Entity Name | Mendocino Community Health Clinic Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497961106 PECOS PAC ID: 6305755455 Enrollment ID: O20040826001483 |
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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. Christina Lynn Lasich 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 |
Christina Lynn Lasich, MD 13184 Allison Ranch Rd, Grass Valley, CA 95949-9607 Ph: (530) 273-8480 | Christina Lynn Lasich, MD 333 Laws Ave, Ukiah, CA 95482-6540 Ph: (707) 468-1010 |
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