Dr Michael John Lasalle, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Colts Neck, New Jersey. His current practice location is
The Orchard Shopping Plaza, 24 State Hwy 34 South, 2nd Level, Colts Neck, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(732) 625-3889.
Dr Michael John Lasalle is licensed to practice in New Jersey (license number MD2460) 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 1336127620.
Healthcare Provider's Profile
| Full Name | Dr Michael John Lasalle |
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| Gender | Male |
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| Speciality | Podiatrist - Foot & Ankle Surgery |
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| Location | The Orchard Shopping Plaza, Colts Neck, New Jersey |
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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: 1336127620
- Provider Enumeration Date: 01/06/2006
- Last Update Date: 01/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 5799850756
- Enrollment ID: I20100525000861
Medical Identifiers
Medical identifiers for Dr Michael John Lasalle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336127620 | NPI | - | NPPES |
| 7915802 | Medicaid | NJ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213ES0103X | Podiatrist - Foot & Ankle Surgery | MD2460 (New Jersey) | 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. Dr Michael John Lasalle allows following entities to bill medicare on his behalf.
| Provider Name | Foot Forward Podiatry Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1487314332
PECOS PAC ID: 3971995697
Enrollment ID: O20220112000051 |
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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. Dr Michael John 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 |
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Dr Michael John Lasalle, DPM
5 Crest Circle Drive,
Millstone, NJ 08510
Ph: (732) 625-3889 | Dr Michael John Lasalle, DPM
The Orchard Shopping Plaza, 24 State Hwy 34 South, 2nd Level,
Colts Neck, NJ 07722-0000
Ph: (732) 625-3889 |
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