Dr Laurie Lynn Connolly, MD is a medicare enrolled "Family Medicine" physician in Jefferson, Iowa. Her current practice location is
1002 Lincoln Way, Jefferson, Iowa. You can reach out to her office (for appointments etc.) via phone at
(515) 386-4192.
Dr Laurie Lynn Connolly is licensed to practice in Iowa (license number 33622) 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 1407843220.
Physician's Profile
| Full Name | Dr Laurie Lynn Connolly |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 1002 Lincoln Way, Jefferson, Iowa |
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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: 1407843220
- Provider Enumeration Date: 10/06/2005
- Last Update Date: 07/20/2012
Medicare PECOS Information:
- PECOS PAC ID: 2567436686
- Enrollment ID: I20040824001220
Medical Identifiers
Medical identifiers for Dr Laurie Lynn Connolly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1407843220 | NPI | - | NPPES |
| 2197772 | Medicaid | IA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 33622 (Iowa) | 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 Laurie Lynn Connolly allows following entities to bill medicare on her behalf.
| Entity Name | Greene County Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245260652 PECOS PAC ID: 0143208595 Enrollment ID: O20040712000717 |
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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 Laurie Lynn Connolly 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 Laurie Lynn Connolly, MD 1002 Lincoln Way, Jefferson, IA 50129 Ph: (515) 386-4192 | Dr Laurie Lynn Connolly, MD 1002 Lincoln Way, Jefferson, IA 50129 Ph: (515) 386-4192 |
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