Dr Laura Archibald, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Leominster, Massachusetts. Her current practice location is
80 Erdman Way Ste 100, Leominster, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(978) 751-9280.
Dr Laura Archibald is licensed to practice in Massachusetts (license number 1023399) 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 1790348472.
Physician's Profile
Full Name | Dr Laura Archibald |
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Gender | Female |
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Speciality | Dermatology - Mohs-micrographic Surgery |
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Location | 80 Erdman Way Ste 100, Leominster, Massachusetts |
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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: 1790348472
- Provider Enumeration Date: 04/17/2019
- Last Update Date: 07/02/2025
Medicare PECOS Information:
- PECOS PAC ID: 9537494679
- Enrollment ID: I20240307003396
Medical Identifiers
Medical identifiers for Dr Laura Archibald such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790348472 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 1023399 (Massachusetts) | Secondary |
207ND0101X | Dermatology - Mohs-micrographic Surgery | 1023399 (Massachusetts) | 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. Dr Laura Archibald allows following entities to bill medicare on her behalf.
Entity Name | Forefront Dermatology Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1659796225 PECOS PAC ID: 3779471701 Enrollment ID: O20140425001640 |
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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. Dr Laura Archibald 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 Laura Archibald, MD 80 Erdman Way Ste 100, Leominster, MA 01453-1840 Ph: (978) 751-9280 | Dr Laura Archibald, MD 80 Erdman Way Ste 100, Leominster, MA 01453-1840 Ph: (978) 751-9280 |
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