Dr Dale Jeanne Lacroix, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Bradford, Pennsylvania. She went to University Of Vermont College Of Medicine and graduated in 1992 and has 32 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Obhg Connecticut Pc and her current practice location is
159 Interstate Pkwy, Bradford, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(814) 362-8480.
Dr Dale Jeanne Lacroix is licensed to practice in Pennsylvania (license number MD473007) 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 1922034479.
Physician's Profile
| Full Name | Dr Dale Jeanne Lacroix |
|---|
| Gender | Female |
|---|
| Speciality | Obstetrics/gynecology |
|---|
| Experience | 32 Years |
|---|
| Location | 159 Interstate Pkwy, Bradford, Pennsylvania |
|---|
| 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:
- Dr Dale Jeanne Lacroix attended and graduated from University Of Vermont College Of Medicine in 1992
NPI Data:
- NPI Number: 1922034479
- Provider Enumeration Date: 06/25/2006
- Last Update Date: 04/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 8921185554
- Enrollment ID: I20181219002275
Medical Identifiers
Medical identifiers for Dr Dale Jeanne Lacroix such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922034479 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207V00000X | Obstetrics & Gynecology | 0420010133 (Vermont) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 62063 (Connecticut) | Secondary |
| 207VX0000X | Obstetrics & Gynecology - Obstetrics | 35.144459 (Ohio) | Secondary |
| 207V00000X | Obstetrics & Gynecology | MD473007 (Pennsylvania) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Obhg Connecticut Pc | 5890164792 | 3 |
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. Dr Dale Jeanne Lacroix allows following entities to bill medicare on her behalf.
| Entity Name | Obhg Connecticut Pc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1861985129
PECOS PAC ID: 5890164792
Enrollment ID: O20221216000249 |
|---|
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. Dr Dale Jeanne Lacroix 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 |
|---|
Dr Dale Jeanne Lacroix, MD
10601 E Gold Panning Ct,
Cold Canyon, AZ 85518-5110
Ph: (802) 233-3802 | Dr Dale Jeanne Lacroix, MD
159 Interstate Pkwy,
Bradford, PA 16701-1013
Ph: (814) 362-8480 |
Reviews and Comments