Patricia E Lally, DO MPH is a medicare enrolled "Pediatrics" physician in Rainelle, West Virginia. Her current practice location is
645 Kanawha Ave, Rainelle, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 438-6188.
Patricia E Lally is licensed to practice in West Virginia (license number 1529) 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 1871564245.
Physician's Profile
| Full Name | Patricia E Lally |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 645 Kanawha Ave, Rainelle, West Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1871564245
- Provider Enumeration Date: 02/01/2006
- Last Update Date: 08/27/2012
Medicare PECOS Information:
- PECOS PAC ID: 6305991241
- Enrollment ID: I20090828000472
Medical Identifiers
Medical identifiers for Patricia E Lally such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871564245 | NPI | - | NPPES |
| 5336168 | Other | WV | AETNA |
| 0110398000 | Medicaid | WV | |
| 1719217 | Other | WV | BC/BS |
| P00067677 | Other | WV | RR MEDICARE |
| P99827 | Other | WV | TRICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 1529 (West Virginia) | 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. Patricia E Lally allows following entities to bill medicare on her behalf.
| Entity Name | Rainelle Medical Center Inc |
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| Entity Type | Part B Supplier - Public Health/welfare Agency |
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| Entity Identifiers | NPI Number: 1093883324
PECOS PAC ID: 7416861810
Enrollment ID: O20040310000112 |
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| Entity Name | Rainelle Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528417946
PECOS PAC ID: 7416861810
Enrollment ID: O20170327001135 |
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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. Patricia E Lally 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 |
|---|
Patricia E Lally, DO MPH
645 Kanawha Ave,
Rainelle, WV 25962-1013
Ph: (304) 438-6188 | Patricia E Lally, DO MPH
645 Kanawha Ave,
Rainelle, WV 25962-1013
Ph: (304) 438-6188 |
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