Lancy Lu, in Lodi, CA - Medicare Pediatrics

Lancy Lu, is a medicare enrolled "Pediatrics" physician in Lodi, California. Her current practice location is 975 S Fairmont Ave, Lodi, California. You can reach out to her office (for appointments etc.) via phone at (209) 339-7639.

Lancy Lu is licensed to practice in California (license number A153017) 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 1114389137.

Contact Information

	Lancy Lu,
	975 S Fairmont Ave, Lodi, CA 95240-5118
	(209) 339-7639
	Not Available

Map and Direction

Physician's Profile

Full Name	Lancy Lu
Gender	Female
Speciality	Pediatrics
Location	975 S Fairmont Ave, Lodi, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114389137
Provider Enumeration Date: 03/29/2016
Last Update Date: 02/11/2022

Medicare PECOS Information:

PECOS PAC ID: 0446587802
Enrollment ID: I20190807002002

Medical Identifiers

Medical identifiers for Lancy Lu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114389137	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A153017 (California)	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. Lancy Lu allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

Entity Name	Regents Of The Univ Of Ca
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013906973 PECOS PAC ID: 3375456619 Enrollment ID: O20031111000892

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. Lancy Lu 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
Lancy Lu, 2516 Stockton Blvd, Sacramento, CA 95817-2208 Ph: () -	Lancy Lu, 975 S Fairmont Ave, Lodi, CA 95240-5118 Ph: (209) 339-7639

Reviews and Comments

Pediatrics Doctors in Lodi, CA

Nedaa N Issa, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1901 W Kettleman Ln Ste 200, Lodi, CA 95242 Phone: 209-334-8540 Fax: 209-368-2885
Dr. Marietta Abellera Sumaquial, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2401 W Turner Rd, Suite 450, Lodi, CA 95242 Phone: 209-370-1700
Arvinder Kaur Thiara, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1300 W Lodi Ave, Suite P, Lodi, CA 95242 Phone: 209-366-1990 Fax: 209-473-9256
Dr. Haeli Park, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 975 S Fairmont Ave, Lodi, CA 95240 Phone: 209-339-7639
Dr. Roy Anunciacion, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1920 Tienda Dr, Ste 102, Lodi, CA 95242 Phone: 209-368-8310
Dr. Rosemary Nunez-davis, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1901 W Kettleman Ln Ste 200, Lodi, CA 95242 Phone: 209-334-8540

Lancy Lu, - Medicare Pediatrics in Lodi, CA