Lacey Erickson Haas, - Medicare Physical Therapist in Alpine, WY

Lacey Erickson Haas, is a medicare enrolled "Physical Therapist" provider in Alpine, Wyoming. She graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Four Pines Physical Therapy, Pc and her current practice location is 94 Emerger Ave, Alpine, Wyoming. You can reach out to her office (for appointments etc.) via phone at (307) 733-5577.

Lacey Erickson Haas is licensed to practice in Wyoming (license number 2134) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1053543843.

Contact Information

Lacey Erickson Haas,
94 Emerger Ave,
Alpine, WY 83128
(307) 733-5577
Not Available



Healthcare Provider's Profile

Full NameLacey Erickson Haas
GenderFemale
SpecialityPhysical Therapy
Experience15 Years
Location94 Emerger Ave, Alpine, Wyoming
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lacey Erickson Haas graduated from medical school in 2009
  NPI Data:
  • NPI Number: 1053543843
  • Provider Enumeration Date: 08/13/2009
  • Last Update Date: 10/18/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7012304751
  • Enrollment ID: I20220427000568

Medical Identifiers

Medical identifiers for Lacey Erickson Haas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053543843NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 7346634-2401 (Utah)Secondary
225100000XPhysical Therapist 2134 (Wyoming)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Four Pines Physical Therapy, Pc822401142415

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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. Lacey Erickson Haas allows following entities to bill medicare on her behalf.
Provider NameFour Pines Physical Therapy, Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1013090539
PECOS PAC ID: 8224011424
Enrollment ID: O20040609000915

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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. Lacey Erickson Haas 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
Lacey Erickson Haas,
Po Box 2832,
Alpine, WY 83128-2608

Ph: (801) 725-1335
Lacey Erickson Haas,
94 Emerger Ave,
Alpine, WY 83128

Ph: (307) 733-5577

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Physical Therapist in Alpine, WY

Dr. Morgan Kinnes, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 94 Emerger Avenue, Alpine, WY 83128
Phone: 307-654-5577    
Kaya Loree Tuchscherer, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 46 Iron Horse St, Alpine, WY 83128
Phone: 307-654-5577    Fax: 307-654-5578

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