Renee C Lassila, MD in Portage, MI

Renee C Lassila, MD is a medicare enrolled "Pediatrics" physician in Portage, Michigan. Her current practice location is 2700 East Centre Ave, Portage, Michigan. You can reach out to her office (for appointments etc.) via phone at (269) 286-7050.

Renee C Lassila is licensed to practice in Michigan (license number 4301065740) 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 1619903317.

Contact Information

	Renee C Lassila, MD
	2700 East Centre Ave, Portage, MI 49002
	(269) 286-7050
	(269) 286-7051

Map and Direction

Physician's Profile

Full Name	Renee C Lassila
Gender	Female
Speciality	Pediatrics
Location	2700 East Centre Ave, Portage, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619903317
Provider Enumeration Date: 06/24/2006
Last Update Date: 11/27/2023

Medicare PECOS Information:

PECOS PAC ID: 2860586047
Enrollment ID: I20070919000232

Medical Identifiers

Medical identifiers for Renee C Lassila such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619903317	NPI	-	NPPES
3214207	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	4301065740 (Michigan)	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. Renee C Lassila allows following entities to bill medicare on her behalf.

Entity Name	Bronson Methodist Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417961137 PECOS PAC ID: 0244148633 Enrollment ID: O20031208000832

Entity Name	Ascension Medical Group Promed
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497709869 PECOS PAC ID: 7315856077 Enrollment ID: O20031216000478

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. Renee C Lassila 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
Renee C Lassila, MD 5943 Stadium Dr, Ste 3, Kalamazoo, MI 49009-3016 Ph: () -	Renee C Lassila, MD 2700 East Centre Ave, Portage, MI 49002 Ph: (269) 286-7050

Reviews and Comments

Pediatrics Doctors in Portage, MI

Sara Ehlke-bejcek, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2680 W Centre Ave, Portage, MI 49024 Phone: 269-324-2400 Fax: 269-324-0450
Linda Garrison, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8001 Angling Rd, Portage, MI 49024 Phone: 269-329-0944
Randall L Dyk, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 670 Mall Dr, Portage, MI 49024 Phone: 269-491-3263
Dr. Anthony J Van Es, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5082 Lovers Ln, Portage, MI 49002 Phone: 269-381-0118 Fax: 269-381-4610
Dr. Elena Jean Lewis, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1324 W Milham Ave, Suite 1, Portage, MI 49024 Phone: 269-342-0196 Fax: 269-342-0532
Thomas R Akland, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 8001 Angling Rd, Portage, MI 49024 Phone: 269-329-0944
Julie Elias, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2680 W Centre Ave, Portage, MI 49024 Phone: 269-324-2400 Fax: 269-324-0450

Renee C Lassila, MD - Medicare Pediatrics in Portage, MI