COURTNEY MARIE LACZKO PA-C
NPI 1891383329
Physician Assistant - Medical in Hollywood, FL

Q: What is Courtney Laczko's NPI number?

The NPI number for Courtney Laczko is 1891383329. It was assigned to this individual provider in the NPPES registry on January 10, 2021.

Q: What is Courtney Laczko's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Courtney Laczko was last updated on April 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 10, 2021PECOS EnrolledAccepts Medicare Assignment

3501 JOHNSON ST, HOLLYWOOD, FL 33021(954) 265-2243 Get Directions Write a Review

NPPES record last updated: April 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 7, 2023, Jan 10, 2021 (2 updates tracked since 2021).

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About Courtney Marie Laczko Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COURTNEY MARIE LACZKO PA-C (NPI 1891383329) is an individual medical provider in Hollywood, Florida and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, is affiliated with Memorial Regional Hospital, and maintains a secondary practice location in Davie.

NPPES Registry Identity

NPI1891383329

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameCOURTNEY MARIE LACZKOCredential: PA-C

Location Address3501 JOHNSON STHollywood, FL 33021-5421

Mailing Address3501 Johnson StHollywood, FL 33021-5421 · (954) 265-2243

Phone(954) 265-2243

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateJanuary 10, 2021

Last NPPES UpdateApril 7, 20232 updates tracked since enumeration

NPPES CertifiedApril 7, 2023

✔ NPI 1891383329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

Also ListedPhysician AssistantTaxonomy 363A00000X

3501 JOHNSON ST, Hollywood, FL 33021

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Secondary Practice Location 1

Location 13200 S University DrDavie, FL 33328-2018 · Phone (954) 262-1250

Group Practice 2

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Courtney Marie Laczko Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719344068

PECOS Enrollment IDI20230601002087

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Regional Hospital

Acute Care Hospitals · Hollywood, FL

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100038

Location3501 Johnson StHollywood, FL 33021 · Broward County

Emergency services Birthing friendly

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LESTER GOLDBERG M.D.

Radiology (Diagnostic Radiology)