Rylee Hackworth, PA - Medicare Physician Assistant in Lagrange, IN

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Rylee Hackworth, PA is a medicare enrolled "Physician Assistant - Medical" in Lagrange, Indiana. Her current practice location is 2500 N Detroit St, Lagrange, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 463-2133.

Rylee Hackworth is licensed to practice in Indiana (license number 10004694A) 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 1063104719.

Contact Information

Rylee Hackworth, PA
2500 N Detroit St,
Lagrange, IN 46761-1158
(260) 463-2133
(260) 463-3775

Map and Direction




Provider's Profile

Full NameRylee Hackworth
GenderFemale
SpecialityPhysician Assistant - Medical
Location2500 N Detroit St, Lagrange, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063104719
  • Provider Enumeration Date: 05/22/2023
  • Last Update Date: 01/09/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9931637485
  • Enrollment ID: I20250110002581

Medical Identifiers

Medical identifiers for Rylee Hackworth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063104719NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 10004694A (Indiana)Primary

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. Rylee Hackworth 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
Rylee Hackworth, PA
Po Box 236,
Lagrange, IN 46761-0236

Ph: (260) 463-2133		Rylee Hackworth, PA
2500 N Detroit St,
Lagrange, IN 46761-1158

Ph: (260) 463-2133

Reviews and Comments


Physician Assistant Nurses in Lagrange, IN

Andrea Budzon, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2500 N Detroit St, Lagrange, IN 46761
Phone: 260-463-2133    Fax: 260-463-3775
Eleonor Vanover, NP-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2500 N Detroit St, Lagrange, IN 46761
Phone: 260-463-2133    Fax: 260-463-3775
Krista Jackson, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 2500 N Detroit St, Lagrange, IN 46761
Phone: 260-463-2133    Fax: 260-463-3775
Mrs. Chana Nicole Goodin, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2500 N Detroit St, Lagrange, IN 46761
Phone: 260-463-2133    Fax: 260-463-3775

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.