Lauri M Tadlock, MD - Medicare Dermatology in Bellevue, WA

Lauri M Tadlock, MD is a medicare enrolled "Dermatology" physician in Bellevue, Washington. Her current practice location is 14030 Ne 24th St, Suite 202, Bellevue, Washington. You can reach out to her office (for appointments etc.) via phone at (425) 454-1104.

Lauri M Tadlock is licensed to practice in Washington (license number MD00021891) 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 1225131865.

Contact Information

Lauri M Tadlock, MD
14030 Ne 24th St, Suite 202,
Bellevue, WA 98007
(425) 454-1104
(425) 454-1290



Physician's Profile

Full NameLauri M Tadlock
GenderFemale
SpecialityDermatology
Location14030 Ne 24th St, Bellevue, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1225131865
  • Provider Enumeration Date: 09/07/2006
  • Last Update Date: 06/28/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 9537116660
  • Enrollment ID: I20120127000921

Medical Identifiers

Medical identifiers for Lauri M Tadlock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225131865NPI-NPPES
1087154MedicaidWA
TA0069OtherREGENCE
070007061OtherWARAILROAD MEDICARE
4120050OtherAETNA
CN9262OtherWARAILROAD MEDICARE
7080237MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology MD00021891 (Washington)Primary
207NS0135XDermatology - Procedural Dermatology MD00021891 (Washington)Secondary
207NP0225XDermatology - Pediatric Dermatology MD00021891 (Washington)Secondary

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. Lauri M Tadlock allows following entities to bill medicare on her behalf.
Entity NameNorth Pacific Dermatology Ps
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1881845907
PECOS PAC ID: 2264448059
Enrollment ID: O20081031000236

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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. Lauri M Tadlock 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
Lauri M Tadlock, MD
14030 Ne 24th St, Suite 202,
Bellevue, WA 98007

Ph: (425) 454-1104
Lauri M Tadlock, MD
14030 Ne 24th St, Suite 202,
Bellevue, WA 98007

Ph: (425) 454-1104

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Dermatology Doctors in Bellevue, WA

Julie S Francis, MD
Dermatology
Medicare: Medicare Enrolled
Practice Location: 14030 Ne 24th St, Suite 202, Bellevue, WA 98007
Phone: 425-454-1104    Fax: 425-454-1290
Samir P. Master, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 1414 116th Ave Ne Ste E, Bellevue, WA 98004
Phone: 425-753-2918    
Keith Cameron Carlson, MD
Dermatology
Medicare: Medicare Enrolled
Practice Location: 11511 Ne 10th St, Bellevue, WA 98004
Phone: 425-502-3000    
Andy J Chien,
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 11511 Ne 10th St, Bellevue, WA 98004
Phone: 425-502-3000    Fax: 425-502-3589
Dr. John P. Hackett, M.D.
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 1605 116th Ave Ne, Ste 102, Bellevue, WA 98004
Phone: 425-456-0709    Fax: 425-456-0358
Dr. James Philip Harnisch, MD
Dermatology
Medicare: Medicare Enrolled
Practice Location: 1600 116th Ave Ne, #306, Bellevue, WA 98004
Phone: 425-455-5111    Fax: 425-455-5113
Dr. Anjeli Krishnan Isaac, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 11511 Ne 10th St, Bellevue, WA 98004
Phone: 425-502-3000    

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