Mrs Laci Jo Vanderboegh, MSN, FNP-C in Wilson, NC

Mrs Laci Jo Vanderboegh, MSN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Wilson, North Carolina. She graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Dlp Wilson Physician Practices Llc, Comprehensive Rehab Of Wilson, Inc. and her current practice location is 1700 Tarboro St W Ste 100, Wilson, North Carolina. You can reach out to her office (for appointments etc.) via phone at (252) 399-5314.

Mrs Laci Jo Vanderboegh is licensed to practice in North Carolina (license number 5019962) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1629824032.

Contact Information

	Mrs Laci Jo Vanderboegh, MSN, FNP-C
	1700 Tarboro St W Ste 100, Wilson, NC 27893-3481
	(252) 399-5314
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Laci Jo Vanderboegh
Gender	Female
Speciality	Nurse Practitioner
Experience	3 Years
Location	1700 Tarboro St W Ste 100, Wilson, North Carolina
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Laci Jo Vanderboegh graduated from nursing school in 2023

NPI Data:

NPI Number: 1629824032
Provider Enumeration Date: 04/26/2024
Last Update Date: 04/26/2024

Medicare PECOS Information:

PECOS PAC ID: 5294278743
Enrollment ID: I20240625001712

Medical Identifiers

Medical identifiers for Mrs Laci Jo Vanderboegh such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629824032	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	5019962 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Wilson Medical Center	Wilson, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dlp Wilson Physician Practices Llc	2567695307	27
Comprehensive Rehab Of Wilson, Inc.	2668377375	85

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. Mrs Laci Jo Vanderboegh allows following entities to bill medicare on her behalf.

Entity Name	Dlp Wilson Physician Practices Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932521010 PECOS PAC ID: 2567695307 Enrollment ID: O20140502000396

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. Mrs Laci Jo Vanderboegh 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
Mrs Laci Jo Vanderboegh, MSN, FNP-C 1103 Greenbriar Rd Nw, Wilson, NC 27896-2146 Ph: () -	Mrs Laci Jo Vanderboegh, MSN, FNP-C 1700 Tarboro St W Ste 100, Wilson, NC 27893-3481 Ph: (252) 399-5314

Reviews and Comments

Nurse Practitioner Nurses in Wilson, NC

Elizabeth N Cox, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 127 Goldsboro St S, Wilson, NC 27893 Phone: 252-230-0452
Ms. Katrina L Mccourt, PMHNP-BC, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2261 Nash St Nw, Wilson, NC 27896 Phone: 252-237-8403 Fax: 877-868-8991
Kimberly Bridgers Pittman, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1702 Medical Park Dr W, Wilson, NC 27893 Phone: 252-243-7944
Krystle Parker, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2261 Nash St Nw, Wilson, NC 27896 Phone: 877-876-3783
Dr. Amanda Bray Brinson, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1702 Medical Park Dr W, Wilson, NC 27893 Phone: 252-243-7944
Rhea Juanita Cruz, MSN APRN FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 403 Crestview Ave Sw, Wilson, NC 27893 Phone: 252-237-0724
Jennifer Anne Crandall, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2231 Nash St Nw Ste A, Wilson, NC 27896 Phone: 919-252-3511

Mrs Laci Jo Vanderboegh, MSN, FNP-C - Medicare Nurse Practitioner in Wilson, NC