Lauren Lysiak, FNP, RN is a medicare enrolled "Nurse Practitioner - Acute Care" in Niagara University, New York. Her current practice location is
5795 Lewiston Rd, Niagara University, New York. You can reach out to her office (for appointments etc.) via phone at
(716) 286-8390.
Lauren Lysiak is licensed to practice in New York (license number 347952) 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 1497407803.
Provider's Profile
| Full Name | Lauren Lysiak |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Acute Care |
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| Location | 5795 Lewiston Rd, Niagara University, New York |
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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: 1497407803
- Provider Enumeration Date: 01/26/2022
- Last Update Date: 10/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 8729467881
- Enrollment ID: I20220620001419
Medical Identifiers
Medical identifiers for Lauren Lysiak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1497407803 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163WM0705X | Registered Nurse - Medical-surgical | 737488-01 (New York) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | 347952 (New York) | 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. Lauren Lysiak allows following entities to bill medicare on her behalf.
| Entity Name | Wellnow Urgent Care, P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669825162 PECOS PAC ID: 8325320864 Enrollment ID: O20170118001953 |
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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. Lauren Lysiak 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 |
Lauren Lysiak, FNP, RN 2458 Independence Ave, Niagara Falls, NY 14301-2438 Ph: (716) 243-0639 | Lauren Lysiak, FNP, RN 5795 Lewiston Rd, Niagara University, NY 14109-9809 Ph: (716) 286-8390 |
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