Nicholas Angelo Lasarso, DPT in Queensbury, NY - Medicare Physical Therapist Provider

Nicholas Angelo Lasarso, DPT is a medicare enrolled "Physical Therapist" provider in Queensbury, New York. His current practice location is 2 Country Club Rd, Queensbury, New York. You can reach out to his office (for appointments etc.) via phone at (518) 926-2075.

Nicholas Angelo Lasarso is licensed to practice in New York (license number 047240-01) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1063969061.

Contact Information

	Nicholas Angelo Lasarso, DPT
	2 Country Club Rd, Queensbury, NY 12804-1702
	(518) 926-2075
	(518) 926-2020

Map and Direction

Healthcare Provider's Profile

Full Name	Nicholas Angelo Lasarso
Gender	Male
Speciality	Physical Therapist
Location	2 Country Club Rd, Queensbury, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063969061
Provider Enumeration Date: 09/07/2016
Last Update Date: 08/17/2021

Medicare PECOS Information:

PECOS PAC ID: 4587942719
Enrollment ID: I20161024000334

Medical Identifiers

Medical identifiers for Nicholas Angelo Lasarso such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063969061	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT4697 (Maine)	Secondary
2251S0007X	Physical Therapist - Sports	PT4697 (Maine)	Secondary
2251X0800X	Physical Therapist - Orthopedic	PT4697 (Maine)	Secondary
225100000X	Physical Therapist	047240-01 (New York)	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. Nicholas Angelo Lasarso allows following entities to bill medicare on his behalf.

Provider Name	Maine Medical Partners
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1285738310 PECOS PAC ID: 9335043967 Enrollment ID: O20040525000396

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. Nicholas Angelo Lasarso 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
Nicholas Angelo Lasarso, DPT 2 Country Club Rd, Queensbury, NY 12804-1702 Ph: (518) 926-2075	Nicholas Angelo Lasarso, DPT 2 Country Club Rd, Queensbury, NY 12804-1702 Ph: (518) 926-2075

Reviews and Comments

Physical Therapist in Queensbury, NY

Janice Schmitt, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 27 Woodvale Rd, Queensbury, NY 12804 Phone: 518-793-5556 Fax: 518-793-9863
Kara Jane Kriss, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13 Baywood Dr, Queensbury, NY 12804 Phone: 518-761-0850 Fax: 518-745-1351
Dr. Kyle Bailey, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 820 Us-9 Suite 1314-b, Queensbury, NY 12804 Phone: 518-289-5242
Meghan Reynolds, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 820 State Route 9, Queensbury, NY 12804 Phone: 518-289-5242
Mr. Michael C Parisi, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5 Main St Ste 6, Queensbury, NY 12804 Phone: 518-798-2225 Fax: 518-798-2807
Anne Paolano, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 35 Evergreen Ln, Suite #1, Queensbury, NY 12804 Phone: 518-832-1703 Fax: 518-832-1711

Nicholas Angelo Lasarso, DPT - Medicare Physical Therapist in Queensbury, NY