Mr Andrew Thomas Lacek, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Springfield, MO

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Mr Andrew Thomas Lacek, CRNA is a medicare enrolled "Registered Nurse" in Springfield, Missouri. He graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice University Anesthesia Medical Group and his current practice location is 3660 S Cox Ave Apt 1206, Springfield, Missouri. You can reach out to his office (for appointments etc.) via phone at (312) 241-5257.

Mr Andrew Thomas Lacek is licensed to practice in Missouri (license number 2022009916) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1114707866.

Contact Information

Mr Andrew Thomas Lacek, CRNA
3660 S Cox Ave Apt 1206,
Springfield, MO 65807-6927
(312) 241-5257
Not Available

Map and Direction




Provider's Profile

Full NameMr Andrew Thomas Lacek
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience2 Years
Location3660 S Cox Ave Apt 1206, Springfield, Missouri
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Andrew Thomas Lacek graduated from nursing school in 2024
  NPI Data:
  • NPI Number: 1114707866
  • Provider Enumeration Date: 10/02/2023
  • Last Update Date: 10/02/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6204367212
  • Enrollment ID: I20241007001300

Medical Identifiers

Medical identifiers for Mr Andrew Thomas Lacek such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114707866NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 2022009916 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ucsf Medical CenterSan francisco, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Anesthesia Medical Group2769370535402

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. Mr Andrew Thomas Lacek allows following entities to bill medicare on his behalf.
Entity NameUniversity of California San Francisco
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861578973
PECOS PAC ID: 4486567229
Enrollment ID: O20031212000897
Entity NameUniversity Anesthesia Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528137296
PECOS PAC ID: 2769370535
Enrollment ID: O20040304001219
Entity NameUCSF Medical Group Business Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477624104
PECOS PAC ID: 3779497870
Enrollment ID: O20040622001513

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. Mr Andrew Thomas Lacek 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
Mr Andrew Thomas Lacek, CRNA
3660 S Cox Ave Apt 1206,
Springfield, MO 65807-6927

Ph: (312) 241-5257		Mr Andrew Thomas Lacek, CRNA
3660 S Cox Ave Apt 1206,
Springfield, MO 65807-6927

Ph: (312) 241-5257

Reviews and Comments


Registered Nurse Nurses in Springfield, MO

Ethel Marie Allison, RN, MPH, BSN, CDE
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Jodie L Clinkenbeard, RN, BSN
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Sara Maples,
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Crystal Romay, R.N.
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Mrs. Donna M Mohl, FNP
Registered Nurse
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Practice Location: 4049 S Campbell Ave, Springfield, MO 65807
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Kathleen Gail Newell-lewis, RN
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Practice Location: 2345 E. Cherokee, Springfield, MO 65803
Phone: 417-820-2856    

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.

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