Garrett S Lasalle, MD is a
Pain Medicine - Interventional Pain Medicine physician based in Tuxedo Park, New York. Garrett S Lasalle is licensed to practice in New York (license number 240055) and his current practice location is 40 Kings Dr, Tuxedo Park, New York. He can be reached at his office (for appointments etc.) via phone at
(845) 524-3512.
NPI number for Garrett S Lasalle is 1922114578 and his current mailing address is 40 Kings Dr, Tuxedo Park, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1922114578.
Physician's Profile
| Full Name | Garrett S Lasalle |
|---|
| Gender | Male |
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| Speciality | Pain Medicine - Interventional Pain Medicine |
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| Location | 40 Kings Dr, Tuxedo Park, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1922114578
- Provider Enumeration Date: 08/23/2006
- Last Update Date: 08/29/2022
Medical Identifiers
Medical identifiers for Garrett S Lasalle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922114578 | NPI | - | NPPES |
| 7100079430 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | TP781 (Kentucky) | Secondary |
| 207R00000X | Internal Medicine | 42969 (Kentucky) | Secondary |
| 207R00000X | Internal Medicine | TD061090 (Maine) | Secondary |
| 207R00000X | Internal Medicine | 240055 (New York) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 35.120779 (Ohio) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 240055 (New York) | Primary |
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. Garrett S Lasalle is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Garrett S Lasalle, MD
40 Kings Dr,
Tuxedo Park, NY 10987-5505
Ph: (845) 524-3512 | Garrett S Lasalle, MD
40 Kings Dr,
Tuxedo Park, NY 10987-5505
Ph: (845) 524-3512 |
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