Michelle Frances Lackovic, MD - Medicare General Practice in Charlestown, NH

Michelle Frances Lackovic, MD is a medicare enrolled "General Practice" physician in Charlestown, New Hampshire. Her current practice location is 131 Morningside Ln, Charlestown, New Hampshire. You can reach out to her office (for appointments etc.) via phone at (603) 542-0066.

Michelle Frances Lackovic is licensed to practice in New Hampshire (license number 8314) 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 1114169125.

Contact Information

Michelle Frances Lackovic, MD
131 Morningside Ln,
Charlestown, NH 03603-4210
(603) 542-0066
(603) 543-0665



Physician's Profile

Full NameMichelle Frances Lackovic
GenderFemale
SpecialityGeneral Practice
Location131 Morningside Ln, Charlestown, New Hampshire
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114169125
  • Provider Enumeration Date: 04/06/2009
  • Last Update Date: 04/06/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 2062740129
  • Enrollment ID: I20190827003526

Medical Identifiers

Medical identifiers for Michelle Frances Lackovic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114169125NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 8314 (New Hampshire)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. Michelle Frances Lackovic allows following entities to bill medicare on her behalf.
Entity NameKeady Family Practice Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033466784
PECOS PAC ID: 8921251828
Enrollment ID: O20121228000366

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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. Michelle Frances Lackovic 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
Michelle Frances Lackovic, MD
131 Morningside Ln,
Charlestown, NH 03603-4210

Ph: (603) 542-0066
Michelle Frances Lackovic, MD
131 Morningside Ln,
Charlestown, NH 03603-4210

Ph: (603) 542-0066

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