Ayesha Latifah Lackna, NP in Saint Louis, MO - Medicare Nurse Practitioner

Ayesha Latifah Lackna, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Saint Louis, Missouri. Her current practice location is 1279 Enderbury Dr Apt 10, Saint Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 347-7299.

Ayesha Latifah Lackna is licensed to practice in Missouri (license number 2025006595) 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 1285433722.

Contact Information

	Ayesha Latifah Lackna, NP
	1279 Enderbury Dr Apt 10, Saint Louis, MO 63125-4724
	(314) 347-7299
	Not Available

Map and Direction

Provider's Profile

Full Name	Ayesha Latifah Lackna
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	1279 Enderbury Dr Apt 10, Saint Louis, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285433722
Provider Enumeration Date: 03/08/2025
Last Update Date: 03/08/2025

Medicare PECOS Information:

PECOS PAC ID: 4688183056
Enrollment ID: I20250605001849

Medical Identifiers

Medical identifiers for Ayesha Latifah Lackna such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285433722	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	2025006595 (Missouri)	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. Ayesha Latifah Lackna allows following entities to bill medicare on her behalf.

Entity Name	Karefirst Missouri Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942658943 PECOS PAC ID: 1052605383 Enrollment ID: O20160810000682

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. Ayesha Latifah Lackna 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
Ayesha Latifah Lackna, NP 8545 Leith Ave, Saint Louis, MO 63134-3223 Ph: (314) 347-7299	Ayesha Latifah Lackna, NP 1279 Enderbury Dr Apt 10, Saint Louis, MO 63125-4724 Ph: (314) 347-7299

Reviews and Comments

Nurse Practitioner Nurses in Saint Louis, MO

Stephanie Lynn Shorey, WHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 621 S New Ballas Rd, Suite 2007b, Saint Louis, MO 63141 Phone: 314-991-5000
Mr. Gary John Gardner, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4251 Forest Park Ave, Saint Louis, MO 63108 Phone: 618-363-9545
Ms. Kim M French, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 Forest Park Ave, Div Im Hematology, 6th Fl, Saint Louis, MO 63108 Phone: 314-362-7216 Fax: 314-696-1391
Barbara Ann Giese, RN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 456 N New Ballas Rd, Suite 304, Saint Louis, MO 63141 Phone: 314-567-6868 Fax: 314-567-0578
Mrs. Anna Ouida Barton, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9450 Manchester Rd Ste 206, Saint Louis, MO 63119 Phone: 314-725-9300
Mrs. Michelle Marie Bloom, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Dept Anesthesiology, Saint Louis, MO 63110 Phone: 800-862-9980 Fax: 314-362-1185
Jessica Lyn Burich, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1129 Macklind Ave, Saint Louis, MO 63110 Phone: 314-534-0200 Fax: 314-534-7996

Ayesha Latifah Lackna, NP - Medicare Nurse Practitioner in Saint Louis, MO