Lacey Bennett Celani, NP is a medicare enrolled "Nurse Practitioner - Family" in Littlefield, Arizona. Her current practice location is
3272 E Rio Virgin Rd, Littlefield, Arizona. You can reach out to her office (for appointments etc.) via phone at
(928) 347-5971.
Lacey Bennett Celani is licensed to practice in Utah (license number 5251058-4405) 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 1972951119.
Provider's Profile
| Full Name | Lacey Bennett Celani |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 3272 E Rio Virgin Rd, Littlefield, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1972951119
- Provider Enumeration Date: 05/27/2016
- Last Update Date: 01/24/2018
Medicare PECOS Information:
- PECOS PAC ID: 0244522126
- Enrollment ID: I20170428001357
Medical Identifiers
Medical identifiers for Lacey Bennett Celani such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1972951119 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 5251058-4405 (Utah) | 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. Lacey Bennett Celani allows following entities to bill medicare on her behalf.
| Entity Name | Canyonlands Community Health Care |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609966860 PECOS PAC ID: 4082509591 Enrollment ID: O20040219000713 |
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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. Lacey Bennett Celani 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 |
Lacey Bennett Celani, NP 1055 N 500 W, Attn: Credentialing, Provo, UT 84604-3305 Ph: (801) 354-8225 | Lacey Bennett Celani, NP 3272 E Rio Virgin Rd, Littlefield, AZ 86432-3200 Ph: (928) 347-5971 |
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