Mrs Lacey Diane Maul, ENP, FNP - Medicare Nurse Practitioner in Kokomo, IN

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Mrs Lacey Diane Maul, ENP, FNP is a medicare enrolled "Nurse Practitioner" physician in Kokomo, Indiana. Her current practice location is 1907 W Sycamore St, Kokomo, Indiana. You can reach out to her office (for appointments etc.) via phone at (765) 456-5433.

Mrs Lacey Diane Maul is licensed to practice in Indiana (license number E08170009) 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 1851816656.

Contact Information

Mrs Lacey Diane Maul, ENP, FNP
1907 W Sycamore St,
Kokomo, IN 46901-5148
(765) 456-5433
Not Available

Map and Direction




Physician's Profile

Full NameMrs Lacey Diane Maul
GenderFemale
SpecialityNurse Practitioner
Location1907 W Sycamore St, Kokomo, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1851816656
  • Provider Enumeration Date: 08/14/2017
  • Last Update Date: 09/10/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 1355607482
  • Enrollment ID: I20171107000174

Medical Identifiers

Medical identifiers for Mrs Lacey Diane Maul such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851816656NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207PE0004XEmergency Medicine - Emergency Medical Services F06170594 (Indiana)Secondary
363L00000XNurse Practitioner E08170009 (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. Mrs Lacey Diane Maul allows following entities to bill medicare on her behalf.
Entity NameSoutheastern Emergency Services Of Memphis Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164454450
PECOS PAC ID: 8921912767
Enrollment ID: O20090212000468
Entity NameCep America Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285103671
PECOS PAC ID: 6608056171
Enrollment ID: O20190214000611

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. Mrs Lacey Diane Maul 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 AddressPractice Location Address
Mrs Lacey Diane Maul, ENP, FNP
16776 Harewood Dr E,
Noblesville, IN 46060-4047

Ph: (317) 313-1922		Mrs Lacey Diane Maul, ENP, FNP
1907 W Sycamore St,
Kokomo, IN 46901-5148

Ph: (765) 456-5433

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.