Dr Nicole Lynn Lacz, MD - Medicare Diagnostic Radiology in Nutley, NJ

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Dr Nicole Lynn Lacz, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Nutley, New Jersey. She went to Rutgers New Jersey Medical School and graduated in 2004 and has 20 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Ancillary Services Of Practice Associates Pa, Montclair Radiological Assoc Pa and her current practice location is 20 High St, Nutley, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 879-3964.

Dr Nicole Lynn Lacz is licensed to practice in New Jersey (license number 25MA08793500) 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 1306052246.

Contact Information

Dr Nicole Lynn Lacz, MD
20 High St,
Nutley, NJ 07110-1132
(973) 879-3964
(973) 284-0269

Map and Direction




Physician's Profile

Full NameDr Nicole Lynn Lacz
GenderFemale
SpecialityDiagnostic Radiology
Experience20 Years
Location20 High St, Nutley, New Jersey
Accepts Medicare AssignmentsYes. 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 Nicole Lynn Lacz attended and graduated from Rutgers New Jersey Medical School in 2004
  NPI Data:
  • NPI Number: 1306052246
  • Provider Enumeration Date: 05/15/2007
  • Last Update Date: 11/14/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1153599055
  • Enrollment ID: I20110720000451

Medical Identifiers

Medical identifiers for Dr Nicole Lynn Lacz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306052246NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 25MA08793500 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Chilton Medical CenterPompton plains, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ancillary Services Of Practice Associates Pa498102619262
Montclair Radiological Assoc Pa327450744711

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 Nicole Lynn Lacz allows following entities to bill medicare on her behalf.
Entity NameMontclair Radiological Assoc Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194810531
PECOS PAC ID: 3274507447
Enrollment ID: O20040824000016
Entity NameAncillary Services Of Practice Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144858408
PECOS PAC ID: 4981026192
Enrollment ID: O20200617000058

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 Nicole Lynn Lacz 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 AddressPractice Location Address
Dr Nicole Lynn Lacz, MD
777 Passaic Ave, Ste 360,
Clifton, NJ 07012-1800

Ph: (973) 284-0020		Dr Nicole Lynn Lacz, MD
20 High St,
Nutley, NJ 07110-1132

Ph: (973) 879-3964

Reviews and Comments


Radiology Doctors in Nutley, NJ

Mona Khedkar, M.D.
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Phone: 973-661-0006    Fax: 973-661-4473
Dr. Denise C Mcfadden, MD
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Practice Location: 20 High St, Nutley, NJ 07110
Phone: 973-284-0020    Fax: 973-284-6310
Dr. Patrick Hines, MD
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Practice Location: 20 High St, Nutley, NJ 07110
Phone: 973-284-0020    Fax: 973-284-6310
Dr. Sarah A Dodge, MD
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Practice Location: 20 High St, Nutley, NJ 07110
Phone: 973-284-1881    
Dr. Anuj J Tolia, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 20 High St, Nutley, NJ 07110
Phone: 973-284-0020    Fax: 973-284-6310
Lisa Taub Bash, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 20 High St, Nutley, NJ 07110
Phone: 973-284-0020    Fax: 973-284-6310

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.