Lacey Appachu, NP in Mesa, AZ - Medicare Nurse Practitioner

Lacey Appachu, NP is a medicare enrolled "Nurse Practitioner" in Mesa, Arizona. Her current practice location is 1520 S Dobson Rd Ste 206, Mesa, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 412-8080.

Lacey Appachu is licensed to practice in Arizona (license number 235223) 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 1124850649.

Contact Information

	Lacey Appachu, NP
	1520 S Dobson Rd Ste 206, Mesa, AZ 85202-4753
	(480) 412-8080
	Not Available

Map and Direction

Provider's Profile

Full Name	Lacey Appachu
Gender	Female
Speciality	Nurse Practitioner
Location	1520 S Dobson Rd Ste 206, Mesa, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124850649
Provider Enumeration Date: 08/14/2024
Last Update Date: 09/12/2025

Medicare PECOS Information:

PECOS PAC ID: 1456892744
Enrollment ID: I20240926002944

Medical Identifiers

Medical identifiers for Lacey Appachu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124850649	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	235223 (Arizona)	Primary
163W00000X	Registered Nurse	235223 (Arizona)	Secondary

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 Appachu allows following entities to bill medicare on her behalf.

Entity Name	Arizona Urology Specialists Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740426485 PECOS PAC ID: 5092863852 Enrollment ID: O20090505000105

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 Appachu 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 Appachu, NP 1400 S Dobson Rd, Mesa, AZ 85202-4707 Ph: () -	Lacey Appachu, NP 1520 S Dobson Rd Ste 206, Mesa, AZ 85202-4753 Ph: (480) 412-8080

Reviews and Comments

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Lacey Appachu, NP - Medicare Nurse Practitioner in Mesa, AZ