Lacey Kruse, MD in Springfield, IL - Medicare Dermatology

Lacey Kruse, MD is a medicare enrolled "Dermatology" physician in Springfield, Illinois. Her current practice location is 751 N Rutledge St, Springfield, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 545-3821.

Lacey Kruse is licensed to practice in Illinois (license number 125-055766) 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 1366670382.

Contact Information

	Lacey Kruse, MD
	751 N Rutledge St, Springfield, IL 62702-4909
	(217) 545-3821
	(217) 545-7438

Map and Direction

Physician's Profile

Full Name	Lacey Kruse
Gender	Female
Speciality	Dermatology
Location	751 N Rutledge St, Springfield, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366670382
Provider Enumeration Date: 06/29/2009
Last Update Date: 05/23/2013

Medicare PECOS Information:

PECOS PAC ID: 8729355094
Enrollment ID: I20170517002439

Medical Identifiers

Medical identifiers for Lacey Kruse such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366670382	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	125-055766 (Illinois)	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. Lacey Kruse allows following entities to bill medicare on her behalf.

Entity Name	Pediatric Faculty Foundation Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518064716 PECOS PAC ID: 4789597279 Enrollment ID: O20031111000157

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. Lacey Kruse 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
Lacey Kruse, MD Po Box 19656, Springfield, IL 62794-9656 Ph: (217) 545-8853	Lacey Kruse, MD 751 N Rutledge St, Springfield, IL 62702-4909 Ph: (217) 545-3821

Reviews and Comments

Dermatology Doctors in Springfield, IL

Bredesen Hartmann, MD Dermatology Medicare: Medicare Enrolled Practice Location: 751 N Rutledge St Ste 2300, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-545-7438
Mrs. Lucinda S Buescher, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 751 N Rutledge St, Springfield, IL 62702 Phone: 217-545-3821 Fax: 217-545-4485
Elizabeth A Small, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1025 S 6th St, Springfield, IL 62703 Phone: 217-528-7541
Dr. Adarsh A Kumar, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2040 Timberbrooke Drive, Springfield, IL 62702 Phone: 217-787-2511 Fax: 217-787-2513
Rebecca J Larson, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 751 N Rutledge St, Suite 2300, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-545-4485
Dr. Brittany Sweet, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1100 Centre West Dr, Springfield, IL 62704 Phone: 217-528-7541
Elle Murray Davis, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1025 S 6th St, Springfield, IL 62703 Phone: 217-528-7541

Lacey Kruse, MD - Medicare Dermatology in Springfield, IL