Dustin Lee Lafollette, NP is a medicare enrolled "Nurse Practitioner - Family" physician in Lafayette, Indiana. His current practice location is
2316 South St, Lafayette, Indiana. You can reach out to his office (for appointments etc.) via phone at
(765) 742-1567.
Dustin Lee Lafollette is licensed to practice in Indiana (license number 28209390A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1982485926.
Physician's Profile
Full Name | Dustin Lee Lafollette |
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Gender | Male |
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Speciality | Nurse Practitioner - Family |
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Location | 2316 South St, Lafayette, Indiana |
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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: 1982485926
- Provider Enumeration Date: 10/06/2023
- Last Update Date: 06/05/2025
Medicare PECOS Information:
- PECOS PAC ID: 5294178372
- Enrollment ID: I20240206000815
Medical Identifiers
Medical identifiers for Dustin Lee Lafollette such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982485926 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 71014507A (Indiana) | Secondary |
363LF0000X | Nurse Practitioner - Family | 28209390A (Indiana) | 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. Dustin Lee Lafollette allows following entities to bill medicare on his behalf.
Entity Name | Proactive Clinical Partners |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1366934242 PECOS PAC ID: 8527315852 Enrollment ID: O20180718001740 |
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Entity Name | Proactive Clinical Partners - Aco |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1821709031 PECOS PAC ID: 5890154884 Enrollment ID: O20230710000733 |
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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. Dustin Lee Lafollette 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 |
Dustin Lee Lafollette, NP 2485 Directors Row Ste D, Indianapolis, IN 46241-4907 Ph: (317) 941-7338 | Dustin Lee Lafollette, NP 2316 South St, Lafayette, IN 47904-2971 Ph: (765) 742-1567 |
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