Teri Lynn Lasalle, PT is a medicare enrolled "Specialist" provider in Providence, Rhode Island. Her current practice location is
2 Dudley St, Suite 200, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at
(401) 277-0790.
Teri Lynn Lasalle is licensed to practice in Rhode Island (license number PT01943) 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 1740201441.
Healthcare Provider's Profile
| Full Name | Teri Lynn Lasalle |
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| Gender | Female |
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| Speciality | Specialist |
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| Location | 2 Dudley St, Providence, Rhode Island |
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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: 1740201441
- Provider Enumeration Date: 07/21/2006
- Last Update Date: 03/14/2025
Medicare PECOS Information:
- PECOS PAC ID: 4385688522
- Enrollment ID: I20250429002593
Medical Identifiers
Medical identifiers for Teri Lynn Lasalle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740201441 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 5509 (South Carolina) | Secondary |
| 174400000X | Specialist | PT01943 (Rhode Island) | 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. Teri Lynn Lasalle allows following entities to bill medicare on her behalf.
| Provider Name | Midlands Orthopaedics And Neurosurgery Pa |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1447235106
PECOS PAC ID: 8628963287
Enrollment ID: O20040220001014 |
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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. Teri Lynn Lasalle 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 |
|---|
Teri Lynn Lasalle, PT
180 Acres Of Pine Rd,
Coventry, RI 02816-8955
Ph: () - | Teri Lynn Lasalle, PT
2 Dudley St, Suite 200,
Providence, RI 02905-3236
Ph: (401) 277-0790 |
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