Mia Lassiter Medlock, PA-C - Medicare Physician Assistant in Lancaster, SC

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Mia Lassiter Medlock, PA-C is a medicare enrolled "Physician Assistant" in Lancaster, South Carolina. Her current practice location is 838 W Meeting St, Medical Arts 5 Suite H, Lancaster, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 286-7633.

Mia Lassiter Medlock is licensed to practice in South Carolina (license number 2619) 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 1518417799.

Contact Information

Mia Lassiter Medlock, PA-C
838 W Meeting St, Medical Arts 5 Suite H,
Lancaster, SC 29720
(803) 286-7633
Not Available

Map and Direction




Provider's Profile

Full NameMia Lassiter Medlock
GenderFemale
SpecialityPhysician Assistant
Location838 W Meeting St, Lancaster, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1518417799
  • Provider Enumeration Date: 10/11/2016
  • Last Update Date: 11/23/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0840577524
  • Enrollment ID: I20170505001301

Medical Identifiers

Medical identifiers for Mia Lassiter Medlock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518417799NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 2619 (South Carolina)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. Mia Lassiter Medlock allows following entities to bill medicare on her behalf.
Entity NameCare-net of Lancaster
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154510352
PECOS PAC ID: 4789766932
Enrollment ID: O20080128000519

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. Mia Lassiter Medlock 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 AddressPractice Location Address
Mia Lassiter Medlock, PA-C
838 W Meeting St, Medical Arts 5 Suite H,
Lancaster, SC 29720-6233

Ph: Not Available		Mia Lassiter Medlock, PA-C
838 W Meeting St, Medical Arts 5 Suite H,
Lancaster, SC 29720

Ph: (803) 286-7633

Reviews and Comments


Physician Assistant Nurses in Lancaster, SC

Ian Michael Carrese, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 800 W Meeting St, Lancaster, SC 29720
Phone: 843-792-1414    
Christin Lee Van Hoy, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 838 W Meeting St Ste H, Lancaster, SC 29720
Phone: 227-380-3285    
Laura A Justen, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 800 W Meeting St, Lancaster, SC 29720
Phone: 803-286-1214    
Charlotte Joan Anderson, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 800 W Meeting St, Lancaster, SC 29720
Phone: 803-286-1479    
Duke Kimzey, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 800 W Meeting St, Lancaster, SC 29720
Phone: 803-286-1214    Fax: 803-286-1369
Staci Ernandez Polk, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 834 W Meeting St Ste E, Lancaster, SC 29720
Phone: 803-285-5900    
Rachel Virginia Lang, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 703 N White St, Lancaster, SC 29720
Phone: 803-285-2273    

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.