Individual provider Active NPI

Annette C Lacasse, DO

  • Dermatology Physician
  • Commerce TWP, MI
National Provider Identifier
1174513279
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
AL007602 Issued in MI
Practice address
8906 Commerce Rd
Suite 5
Commerce TWP, MI 48382-4484
Phone
(248) 363-5555
Fax
(248) 363-5519
NPI assigned
Oct 28, 2005
Last updated
Apr 2, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X AL007602 MI Primary

Addresses

Primary practice location

8906 Commerce Rd
Suite 5
Commerce TWP, MI 48382-4484

Mailing address

8906 Commerce Rd
Suite 5
Commerce TWP, MI 48382-4484
Phone (248) 363-5555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080121000022 MI Practitioner - Dermatology 3274421813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Michigan State University College of Osteopathic Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr. Annette C. Lacasse, D.O., P.C.Group PAC ID 0345326401, 2 clinicians

Practice addresses (Care Compare)

8906 Commerce Rd
Suite 5
Commerce Township, MI 48382-4484
Phone (248) 363-5555

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.42 of 100Reported as individual
Quality
94.83
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1368
Removal or shaving of skin growth301
Skin biopsy153

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
AL007602MIMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Annette C. Lacasse, D.O., P.C. Dermatology CurrentSince Dec 6, 1979 Accepting new patients

Locations

8906 Commerce Rd
Ste 5
Commerce Twp, MI 48382
Phone (248) 363-5555

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207094400000",
    "number": "1174513279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8906 COMMERCE RD",
            "address_2": "SUITE 5",
            "city": "COMMERCE TWP",
            "state": "MI",
            "postal_code": "483824484",
            "telephone_number": "248-363-5555",
            "fax_number": "248-363-5519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8906 COMMERCE RD",
            "address_2": "SUITE 5",
            "city": "COMMERCE TWP",
            "state": "MI",
            "postal_code": "483824484",
            "telephone_number": "248-363-5555",
            "fax_number": "248-363-5519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACASSE",
        "first_name": "ANNETTE",
        "middle_name": "C",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-28",
        "last_updated": "2008-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "AL007602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce TWP, MI

Sources for this page

Verify at the official NPI Registry.