Mrs Lacy Champagne Mills, FNP in Independence, LA

Mrs Lacy Champagne Mills, FNP is a medicare enrolled "Nurse Practitioner - Family" in Independence, Louisiana. Her current practice location is 230 Masonic Drive, Independence, Louisiana. You can reach out to her office (for appointments etc.) via phone at (985) 878-4174.

Mrs Lacy Champagne Mills is licensed to practice in Louisiana (license number AP06092) 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 1477873362.

Contact Information

	Mrs Lacy Champagne Mills, FNP
	230 Masonic Drive, Independence, LA 70443
	(985) 878-4174
	(985) 878-9410

Map and Direction

Provider's Profile

Full Name	Mrs Lacy Champagne Mills
Gender	Female
Speciality	Nurse Practitioner - Family
Location	230 Masonic Drive, Independence, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477873362
Provider Enumeration Date: 06/03/2010
Last Update Date: 07/03/2025

Medicare PECOS Information:

PECOS PAC ID: 3971780479
Enrollment ID: I20110610000022

Medical Identifiers

Medical identifiers for Mrs Lacy Champagne Mills such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477873362	NPI	-	NPPES
2167537	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN106360-AP06092 (Louisiana)	Secondary
363LF0000X	Nurse Practitioner - Family	AP06092 (Louisiana)	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. Mrs Lacy Champagne Mills allows following entities to bill medicare on her behalf.

Entity Name	Northlake Medicine And Wellness Center, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073693958 PECOS PAC ID: 5597764183 Enrollment ID: O20061208000218

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 Lacy Champagne Mills 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 Lacy Champagne Mills, FNP 54190 Sweetwater Rd, Independence, LA 70443-2002 Ph: (985) 878-0938	Mrs Lacy Champagne Mills, FNP 230 Masonic Drive, Independence, LA 70443 Ph: (985) 878-4174

Reviews and Comments

Nurse Practitioner Nurses in Independence, LA

Andrew Sharp, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 304 West 4th Street, Independence, LA 70443 Phone: 985-878-8030 Fax: 985-878-4416
Denise Maria Linton, A.P.N Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Lallie Kemp Hospital, 52579 Highway 51 South, Independence, LA 70443 Phone: 985-878-9421 Fax: 985-878-1431
Sherry Paretti, A.P.N Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Lallie Kemp Hospital, 52579 Highway 51 South, Independence, LA 70443 Phone: 985-878-9421 Fax: 985-878-1431
Melissa Sterling Smith, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 52579 Highway 51 S, Independence, LA 70443 Phone: 985-974-6158
Shawn Dearie, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 230 Masonic Drive, Independence, LA 70443 Phone: 985-878-4174 Fax: 985-878-9410
Wendy Young, A.P.N. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 52579 Highway 51 South, Lallie Kemp Hospital, Independence, LA 70443 Phone: 985-878-9421 Fax: 985-878-1431
Marc Joseph Muscarello, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 52579 Highway 51 S, Independence, LA 70443 Phone: 225-485-4419

Mrs Lacy Champagne Mills, FNP - Medicare Nurse Practitioner in Independence, LA