Colette Rebecca Lasek, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

MD034184E Issued in PA

Practice address

97 Progress Blvd
Shippensburg, PA 17257-9053

Phone

(717) 217-6944

Fax

(717) 217-6955

NPI assigned

Jul 7, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Cardiovascular Disease (Cardiology)

Education

State University of New York at Buffalo School of Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wellspan Chambersburg Hospital Hospital, Chambersburg, PA, CCN 390151
• Wellspan Waynesboro Hospital Hospital, Waynesboro, PA, CCN 390138

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: clasek270353@wellspan.direct-ci.com
• FHIR API: https://api.platform.athenahealth.com/14273/brand/6/csg/1/fhir/r4
• Direct secure messaging: clasek15657@direct.geisinger.edu

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

• Wellspan Medical Group

  • Gastroenterology Physician
  • York, PA
  • NPI 1669770004
  Medicare reassignment Care Compare group NPD
• Geisinger Clinic

  • Family Medicine Physician
  • Danville, PA
  • NPI 1366493868
  Medicare reassignment NPD
• Geisinger-HM Joint Venture, LLC

  • Family Medicine Physician
  • Lock Haven, PA
  • NPI 1144876137
  Medicare reassignment NPD
• Geisinger Clinic

  • Pediatrics Physician
  • Selinsgrove, PA
  • NPI 1326346487
  NPD
• Geisinger Clinic

  • Diagnostic Radiology Physician
  • Danville, PA
  • NPI 1558313023
  NPD
• Geisinger-HM Joint Venture, LLC

  • Family Medicine Physician
  • Williamsport, PA
  • NPI 1073075909
  NPD
• Wellspan Medical Group

  • Clinic/Center
  • York, PA
  • NPI 1063981686
  NPD
• Wellspan Medical Group

  • Pediatric Surgery Physician
  • York, PA
  • NPI 1104799428
  NPD
• Lancaster Hma Physician Management, LLC

  • Family Medicine Physician
  • Lancaster, PA
  • NPI 1932272341

  Cardiovascular Disease

  NPD (past)
• Summit Physician Services

  • Family Medicine Physician
  • Chambersburg, PA
  • NPI 1306840814

  Cardiovascular Disease

  NPD (past)
• Heartplace, PLLC

  • Cardiac Rehabilitation Registered Nurse
  • Arlington, TX
  • NPI 1033943394
  NPD (past)
• Legacy Heart Center

  • Cardiovascular Disease Physician
  • Plano, TX
  • NPI 1366491326
  NPD (past)

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

• The Chambersburg Hospital

  • Clinic/Center
  • Chambersburg, PA
  • NPI 1215060157

  Hospital

  Care Compare affiliation
• The Chambersburg Hospital

  • Clinic/Center
  • Chambersburg, PA
  • NPI 1669523320

  Hospital

  Care Compare affiliation
• The Chambersburg Hospital

  • General Acute Care Hospital
  • Chambersburg, PA
  • NPI 1902804552
  Care Compare affiliation
• The Chambersburg Hospital

  • Clinic/Center
  • Chambersburg, PA
  • NPI 1952452617

  Hospital

  Care Compare affiliation
• Waynesboro Hospital

  • Clinic/Center
  • Waynesboro, PA
  • NPI 1083780894

  Hospital

  Care Compare affiliation
• Waynesboro Hospital

  • Clinic/Center
  • Fayetteville, PA
  • NPI 1306989561

  Hospital

  Care Compare affiliation
• Waynesboro Hospital

  • General Acute Care Hospital
  • Waynesboro, PA
  • NPI 1821091059
  Care Compare affiliation

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1225035975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 5TH AVE STE 3",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172014232",
            "telephone_number": "717-263-9555",
            "fax_number": "717-709-6529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 PROGRESS BLVD",
            "city": "SHIPPENSBURG",
            "state": "PA",
            "postal_code": "172579053",
            "telephone_number": "717-217-6944",
            "fax_number": "717-217-6955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "338 Alexander Spring Rd",
            "address_purpose": "LOCATION",
            "city": "Carlisle",
            "state": "PA",
            "postal_code": "170159129",
            "country_code": "US",
            "telephone_number": "717-218-5103",
            "fax_number": "717-303-3729",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 E Main St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "PA",
            "postal_code": "172682353",
            "country_code": "US",
            "telephone_number": "717-217-6944",
            "fax_number": "717-217-6955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22 St Paul Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011036",
            "country_code": "US",
            "telephone_number": "717-217-6944",
            "fax_number": "717-217-6955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LASEK",
        "first_name": "COLETTE",
        "middle_name": "REBECCA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD034184E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "334396",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "60068465",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001206690",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1521308",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "1752602",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2804527",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clasek15657@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "100 N Academy Ave",
            "city": "Danville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "178222775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Virginia Kyline Keefer, CRNP
• Page M. Kissinger
• Mounica Kudumulla
• Kathryn Ann Kurdt, PH.D, LPC
• Henry C Land Jr., RPH
• Rachel Nicole Lawver
• Robert Lee
• Mary Jane Leid, CPM
• Jonathan Scott Lewis, PT
• Wesley R. Mallicone, MS, ATC

• Cardiovascular Disease Physician in Shippensburg, PA
• Providers in Shippensburg, PA by specialty
• Cardiovascular Disease Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.