Carly Lasure, PA in Tucson, AZ - Medicare Physician Assistant

Carly Lasure, PA is a medicare enrolled "Physician Assistant" physician in Tucson, Arizona. Her current practice location is 350 N Wilmot Rd, Tucson, Arizona. You can reach out to her office (for appointments etc.) via phone at (520) 873-3000.

Carly Lasure is licensed to practice in Arizona (license number 9354) 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 1427797604.

Contact Information

	Carly Lasure, PA
	350 N Wilmot Rd, Tucson, AZ 85711-2602
	(520) 873-3000
	Not Available

Physician's Profile

Full Name	Carly Lasure
Gender	Female
Speciality	Physician Assistant
Location	350 N Wilmot Rd, Tucson, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427797604
Provider Enumeration Date: 06/03/2022
Last Update Date: 01/25/2023

Medicare PECOS Information:

PECOS PAC ID: 8729434766
Enrollment ID: I20231026002345

Medical Identifiers

Medical identifiers for Carly Lasure such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427797604	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208M00000X	Hospitalist	9354 (Arizona)	Secondary
363A00000X	Physician Assistant	9354 (Arizona)	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. Carly Lasure 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
Carly Lasure, PA 3658 W Lantana Hills Pl, Tucson, AZ 85741-1159 Ph: () -	Carly Lasure, PA 350 N Wilmot Rd, Tucson, AZ 85711-2602 Ph: (520) 873-3000

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Carly Lasure, PA - Medicare Physician Assistant in Tucson, AZ