Lacy Manuelito, MD in Tucson, AZ - Medicare Pediatrics

Lacy Manuelito, MD is a medicare enrolled "Pediatrics" physician in Tucson, Arizona. Her current practice location is 7900 S J Stock Rd, Tucson, Arizona. You can reach out to her office (for appointments etc.) via phone at (520) 547-8140.

Lacy Manuelito is licensed to practice in Arizona (license number R77336) 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 1750844155.

Contact Information

	Lacy Manuelito, MD
	7900 S J Stock Rd, Tucson, AZ 85746-7012
	(520) 547-8140
	Not Available

Map and Direction

Physician's Profile

Full Name	Lacy Manuelito
Gender	Female
Speciality	Pediatrics
Location	7900 S J Stock Rd, Tucson, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750844155
Provider Enumeration Date: 04/11/2019
Last Update Date: 06/16/2022

Medicare PECOS Information:

PECOS PAC ID: 3870820210
Enrollment ID: I20221005000749

Medical Identifiers

Medical identifiers for Lacy Manuelito such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750844155	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	R77336 (Arizona)	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. Lacy Manuelito allows following entities to bill medicare on her behalf.

Entity Name	Ton Sells Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487652426 PECOS PAC ID: 5092768663 Enrollment ID: O20050301000125

Entity Name	Ton San Xavier Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437157302 PECOS PAC ID: 6608819339 Enrollment ID: O20050603000721

Entity Name	Ton Santa Rosa Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770581639 PECOS PAC ID: 0749223485 Enrollment ID: O20050603000761

Entity Name	Ton San Simon Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588834998 PECOS PAC ID: 8123194354 Enrollment ID: O20081111000398

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. Lacy Manuelito 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
Lacy Manuelito, MD 7900 S J Stock Rd, Tucson, AZ 85746-7012 Ph: (520) 547-8140	Lacy Manuelito, MD 7900 S J Stock Rd, Tucson, AZ 85746-7012 Ph: (520) 547-8140

Reviews and Comments

Pediatrics Doctors in Tucson, AZ

Dr. Sivapriya Ramakrishnan, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1628 North Alvernon Way, Tucson Central Pediatrics, Tucson, AZ 85712 Phone: 520-325-8000
Briana Lynn Andres, Pediatrics Medicare: Medicare Enrolled Practice Location: 1501 N Campbell Ave, Tucson, AZ 85724 Phone: 520-626-7944
Ashley Azizi Assadi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1501 N Campbell Ave, Tucson, AZ 85724 Phone: 520-626-7944
Robert Serlin, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 6238 E Pima St, Tucson, AZ 85712 Phone: 520-290-0022 Fax: 520-290-0044
Dr. Charles Hoffmeister, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2104 E Drachman St, Tucson, AZ 85719 Phone: 541-954-5666
Dr. Scott Thomas Radomsky, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7507 E. Tanque Verde Road, 101, Tucson, AZ 85715 Phone: 520-722-2585 Fax: 520-722-1097
John Hutter, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1501 N Campbell Ave, Tucson, AZ 85724 Phone: 520-874-3500

Lacy Manuelito, MD - Medicare Pediatrics in Tucson, AZ