Eleanor Lacsa San Pedro, RN - Registered Nurse in Germantown, TN

Eleanor Lacsa San Pedro, RN is a Registered Nurse - Critical Care Medicine based in Germantown, Tennessee. Eleanor Lacsa San Pedro is licensed to practice in Tennessee (license number 0000294113) and her current practice location is 7691 Poplar Ave, Germantown, Tennessee. She can be reached at her office (for appointments etc.) via phone at (901) 516-6386.

NPI number for Eleanor Lacsa San Pedro is 1063000727 and her current mailing address is 8725 Stony Glen Dr, Bartlett, Tennessee. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063000727.

Contact Information

Eleanor Lacsa San Pedro, RN
7691 Poplar Ave,
Germantown, TN 38138-3904
(901) 516-6386
Not Available

Map and Direction




Provider's Profile

Full NameEleanor Lacsa San Pedro
GenderFemale
SpecialityRegistered Nurse - Critical Care Medicine
Location7691 Poplar Ave, Germantown, Tennessee
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1063000727
  • Provider Enumeration Date: 01/07/2021
  • Last Update Date: 01/07/2021

Medical Identifiers

Medical identifiers for Eleanor Lacsa San Pedro such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063000727NPI-NPPES
0000249113OtherTNREGISTERED NURSE
894837OtherMSREGISTERED NURSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 0000294113 (Tennessee)Secondary
163WC0200XRegistered Nurse - Critical Care Medicine 894837 (Mississippi)Secondary
163WG0000XRegistered Nurse - General Practice 0000294113 (Tennessee)Secondary
163WM0705XRegistered Nurse - Medical-surgical 0000294113 (Tennessee)Secondary
163WC0200XRegistered Nurse - Critical Care Medicine 0000294113 (Tennessee)Primary

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. Eleanor Lacsa San Pedro is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Eleanor Lacsa San Pedro, RN
8725 Stony Glen Dr,
Bartlett, TN 38133-2150

Ph: (662) 402-0779
Eleanor Lacsa San Pedro, RN
7691 Poplar Ave,
Germantown, TN 38138-3904

Ph: (901) 516-6386

Reviews and Comments


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Mr. Jesse Newton Lee, CRNA
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Mr. Michael Elvis Davison, RN
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Medicare: Accepting Medicare Assignments
Practice Location: 1900 Exeter Rd, Suite 210, Germantown, TN 38138
Phone: 901-818-2160    Fax: 901-682-9522

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.