Madison Lacken, in Hamburg, NJ - Medicare Nurse Practitioner

Madison Lacken, is a medicare enrolled "Nurse Practitioner - Family" in Hamburg, New Jersey. Her current practice location is 225 Route 23, Suite 1c, Hamburg, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 209-1550.

Madison Lacken is licensed to practice in New Jersey (license number 26NJ15125800) 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 1053147785.

Contact Information

	Madison Lacken,
	225 Route 23, Suite 1c, Hamburg, NJ 07419
	(973) 209-1550
	(973) 209-4832

Map and Direction

Provider's Profile

Full Name	Madison Lacken
Gender	Female
Speciality	Nurse Practitioner - Family
Location	225 Route 23, Hamburg, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053147785
Provider Enumeration Date: 09/10/2024
Last Update Date: 09/10/2024

Medicare PECOS Information:

PECOS PAC ID: 0143753475
Enrollment ID: I20241025000321

Medical Identifiers

Medical identifiers for Madison Lacken such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053147785	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	26NJ15125800 (New Jersey)	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. Madison Lacken allows following entities to bill medicare on her behalf.

Entity Name	Premier Health Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043257991 PECOS PAC ID: 0840283008 Enrollment ID: O20041209000067

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. Madison Lacken 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
Madison Lacken, 532 Lafayette Rd Ste 300, Sparta, NJ 07871-4411 Ph: (973) 795-4554	Madison Lacken, 225 Route 23, Suite 1c, Hamburg, NJ 07419 Ph: (973) 209-1550

Reviews and Comments

Nurse Practitioner Nurses in Hamburg, NJ

Erin Wilson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17 State Rt 23 N, Hamburg, NJ 07419 Phone: 973-827-7800 Fax: 973-209-7855
Wendy R Ognek, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17 Nj Route 23 North, Hamburg, NJ 07419 Phone: 973-827-7800 Fax: 973-209-7855
Ms. Diana Beth Hannoch-bowie, A.P.N Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17 Route 23 North, Suite 103, Hamburg, NJ 07419 Phone: 973-827-7800 Fax: 973-209-7855

Madison Lacken, - Medicare Nurse Practitioner in Hamburg, NJ