| Mr Randy Wayne Lasut Jr, CRNP FNP-C | |
|
4186 Cortland Dr, New Paris, PA 15554-7706 | |
| (814) 839-4108 | |
| Not Available |
| Full Name | Mr Randy Wayne Lasut Jr |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 4186 Cortland Dr, New Paris, Pennsylvania |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063282994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | SP029010 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Upmc Bedford Memorial | Everett, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Orchard Valley Physician Services Pllc | 4385028034 | 10 |
| Dlp Conemaugh Physician Practices Llc | 7315166949 | 256 |
| Henry W Shoenthal Md Inc | 7810281946 | 10 |
| Entity Name | Orchard Valley Physician Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083377345 PECOS PAC ID: 4385028034 Enrollment ID: O20230222002758 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Randy Wayne Lasut Jr, CRNP FNP-C 4186 Cortland Dr, New Paris, PA 15554-7706 Ph: (814) 839-4108 | Mr Randy Wayne Lasut Jr, CRNP FNP-C 4186 Cortland Dr, New Paris, PA 15554-7706 Ph: (814) 839-4108 |
Brittany Cogan, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4186 Cortland Dr, New Paris, PA 15554 Phone: 814-839-4108 | |
Mrs. Christine Renee Brocious, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4186 Cortland Dr, New Paris, PA 15554 Phone: 814-839-4108 | |
Alaina Royanne Heeter, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4186 Cortland Dr, New Paris, PA 15554 Phone: 814-839-4108 |