Racheal Nicole Lafferty, PA is a medicare enrolled "Physician Assistant" in Daniels, West Virginia. Her current practice location is
351 4h Lake Rd, Daniels, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 877-8215.
Racheal Nicole Lafferty is licensed to practice in * (Not Available) (license number ) 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 1114674892.
Provider's Profile
| Full Name | Racheal Nicole Lafferty |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 351 4h Lake Rd, Daniels, West Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1114674892
- Provider Enumeration Date: 03/03/2022
- Last Update Date: 01/09/2025
Medicare PECOS Information:
- PECOS PAC ID: 7113309485
- Enrollment ID: I20220803000669
Medical Identifiers
Medical identifiers for Racheal Nicole Lafferty such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114674892 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AS0400X | Physician Assistant - Surgical | 854 (West Virginia) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | 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. Racheal Nicole Lafferty allows following entities to bill medicare on her behalf.
| Entity Name | Community Health Systems Inc |
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| Entity Type | Part B Supplier - Public Health/welfare Agency |
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| Entity Identifiers | NPI Number: 1588738538
PECOS PAC ID: 6608785795
Enrollment ID: O20040311000504 |
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| Entity Name | Raleigh General Hospital LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114475746
PECOS PAC ID: 6103735154
Enrollment ID: O20040914001132 |
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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. Racheal Nicole Lafferty 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 |
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Racheal Nicole Lafferty, PA
252 Rural Acres Dr,
Beckley, WV 25801-3503
Ph: (304) 253-2628 | Racheal Nicole Lafferty, PA
351 4h Lake Rd,
Daniels, WV 25832-9531
Ph: (304) 877-8215 |
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