GINA MARIE LACOLLA PA-C
NPI 1497361752
Physician Assistant in Waterford, MI

NPI Status: Active since September 21, 2020

Contact Information

1255 N OAKLAND BLVD
WATERFORD, MI
ZIP 48327
Phone: (248) 599-8999
Fax: (248) 406-0107

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  • Individual
  • Female
  • Physician Assistant
  • Accepts Insurance
  • PECOS Enrolled

About GINA LACOLLA

This page provides the complete NPI Profile along with additional information for Gina Lacolla, a primary care provider established in Waterford, Michigan with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1497361752 assigned on September 2020. The practitioner's primary taxonomy code is 363A00000X with license number 5601010201 (MI). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1497361752
Provider Name
GINA MARIE LACOLLA PA-C
Gender
Female
Entity Type
Individual
Location Address
1255 N OAKLAND BLVD WATERFORD, MI 48327
Location Phone
(248) 599-8999
Location Fax
(248) 406-0107
Mailing Address
523 MEADOWDALE ST FERNDALE, MI 48220
Mailing Phone
(586) 744-6794
Is Sole Proprietor?
No
Enumeration Date
09-21-2020
Last Update Date
12-26-2024
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A primary care provider (PCP) like Gina Lacolla sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
5601010201
License State
MI
Taxonomy Description
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Cross� Preferred HMO Bronze Extra - HMO
  • Blue Cross� Preferred HMO Bronze Saver HSA - HMO
  • Blue Cross� Preferred HMO Bronze Secure - HMO
  • Blue Cross� Preferred HMO Gold - HMO
  • Blue Cross� Preferred HMO Gold Extra - HMO
  • Blue Cross� Preferred HMO Silver - HMO
  • Blue Cross� Preferred HMO Silver Extra - HMO
  • Blue Cross� Preferred HMO Silver Saver - HMO
  • Blue Cross� Preferred HMO Value - HMO
  • Blue Cross� Select HMO Bronze Extra - HMO
  • Blue Cross� Select HMO Bronze Saver HSA - HMO
  • Blue Cross� Select HMO Bronze Secure - HMO
  • Blue Cross� Select HMO Silver - HMO
  • Blue Cross� Select HMO Silver Extra - HMO
  • Blue Cross� Select HMO Silver Saver - HMO
  • Blue Cross� Select HMO Value - HMO
  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO
  • Bronze First - HMO
  • Bronze First Adult Vision & Fitness - HMO
  • Diabetes Gold - HMO
  • Diabetes Gold Adult Vision & Fitness - HMO
  • Diabetes Silver - HMO
  • Diabetes Silver Adult Vision & Fitness - HMO
  • Gold - HMO
  • Gold Adult Vision & Fitness - HMO
  • HDHP Preventive Silver - HMO
  • Healthy Heart Gold - HMO
  • Healthy Heart Gold Adult Vision & Fitness - HMO
  • Healthy Heart Silver - HMO
  • Healthy Heart Silver Adult Vision & Fitness - HMO
  • Low Premium Silver - HMO
  • Low Premium Silver Adult Vision & Fitness - HMO
  • Silver - HMO
  • Silver Adult Vision & Fitness - HMO
  • MyPriority Balanced Silver - HMO
  • MyPriority Premier Silver - HMO
  • MyPriority Standard Bronze - HMO
  • MyPriority Standard Bronze - Travel - HMO
  • MyPriority Standard Gold - HMO
  • MyPriority Standard Silver - HMO
  • MyPriority Standard Silver - Travel - HMO
  • MyPriority Value Bronze - HMO
  • MyPriority Value Bronze HSA - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Gina Lacolla is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 48327 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $90.76
  • Minimum New Patient Price $58.04
  • Maximum New Patient Price $177.36
  • Average New Patient Copayment $22.69
  • Minimum New Patient Copayment $14.51
  • Maximum New Patient Copayment $44.34

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $72.38
  • Minimum Established Patient Price $18.32
  • Maximum Established Patient Price $143.49
  • Average Established Patient Copayment $18.09
  • Minimum Established Patient Copayment $4.58
  • Maximum Established Patient Copayment $35.87

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for GINA MARIE LACOLLA PA-C

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1497361752
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24187662710
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 6 + 6 + 2 + 7 + 1 + 0 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1497361752 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1821094202NOVACARE OUTPATIENT REHABILITATION EAST INC
Organization
Clinic/Center (Physical Therapy)1255 N OAKLAND BLVD STE 145
WATERFORD, MI 48327
(248) 666-3329
1013985209MRS. JENNIFER MILZ BURKE P.T.
Individual
Physical Therapist1255 N OAKLAND BLVD SUITE 145
WATERFORD, MI 48327
(248) 666-3329
1245340678MS. ERICA LYNN CLUTE B.A., FAODP
Individual
Counselor (Addiction (Substance Use Disorder))1255 N OAKLAND BLVD
WATERFORD, MI 48327
(248) 406-0090
1528170891MR. ROBERT JOHN MCCOMBS BA, FAODP
Individual
Counselor (Addiction (Substance Use Disorder))1255 N OAKLAND BLVD
WATERFORD, MI 48327
(248) 406-0090
1366658155MS. DANIELE NICOLE LANIER LPN
Individual
Licensed Practical Nurse1255 N OAKLAND BLVD
WATERFORD, MI 48327
(248) 406-0090
1457536229 PENNY L SHERWOOD RN, BSN
Individual
Registered Nurse (Administrator)1255 N OAKLAND BLVD
WATERFORD, MI 48327
(248) 406-0108
1659549145 SUSAN MARIE GRECH RN
Individual
Registered Nurse1255 N OAKLAND BLVD
WATERFORD, MI 48327
(248) 406-0090
1699947994MRS. STEPHANIE JOY KENDRICKS LPN
Individual
Licensed Practical Nurse1255 N OAKLAND BLVD
WATERFORD, MI 48327
(248) 406-0090
1487800041MS. LAURA L MAULDIN
Individual
Counselor (Addiction (Substance Use Disorder))1255 N OAKLAND BLVD SUITE 200
WATERFORD, MI 48327
(248) 406-0090
1619120748MISS CAROL A. HILTON M.A.
Individual
Counselor (Addiction (Substance Use Disorder))1255 N OAKLAND BLVD STE. 200
WATERFORD, MI 48327
(248) 406-0090
1093049561 JANE ELIZABETH LEIPOLD DIKA
Individual
Counselor (Mental Health)1255 N OAKLAND BLVD
WATERFORD, MI 48327
(248) 406-0090
1821306663MISS EWA ANNA KUBICZ LMSW
Individual
Counselor (Addiction (Substance Use Disorder))1255 N OAKLAND BLVD
WATERFORD, MI 48327
(248) 406-0090
1891091963 ROBIN HEIDEMAN LLMSW
Individual
Counselor (Addiction (Substance Use Disorder))1255 N OAKLAND BLVD
WATERFORD, MI 48327
(248) 406-0090
1821386293 KRISTIN A WOLF B.S., M.A.
Individual
Counselor (Addiction (Substance Use Disorder))1255 N OAKLAND BLVD
WATERFORD, MI 48327
(248) 406-0090
1710250774 MEGAN EILEEN WENCLEY MA, LLPC, NCC
Individual
Counselor (Addiction (Substance Use Disorder))1255 N OAKLAND BLVD
WATERFORD, MI 48327
(248) 406-0090
1144601162 PATRICK MORTON MSW
Individual
Social Worker (Clinical)1255 N OAKLAND BLVD
WATERFORD, MI 48327
(248) 599-8999
1306207758 PATRICIA GALLINO MA TLLP
Individual
Counselor (Addiction (Substance Use Disorder))1255 N OAKLAND BLVD
WATERFORD, MI 48327
(248) 225-8970
1093176018 ERIN MITCHELL
Individual
Community Health Worker1255 N OAKLAND BLVD
WATERFORD, MI 48327
(248) 406-0090
1982066825MS. AMBER JO STEPHENSON-LAFOREST TLLP
Individual
Psychologist (Clinical)1255 N OAKLAND BLVD
WATERFORD, MI 48327
(248) 406-0090
1033566674 SHAWN GRAHAM LPC
Individual
Counselor (Addiction (Substance Use Disorder))1255 N OAKLAND BLVD
WATERFORD, MI 48327
(248) 406-0090

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497361752, enumerated in the NPI registry as an "individual" on September 21, 2020

The provider is located at 1255 N Oakland Blvd Waterford, Mi 48327 and the phone number is (248) 599-8999

The provider's speciality is Physician Assistant with taxonomy code 363A00000X

The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $90.76 with an average copayment of $22.69 for new patient appointments. Established patients should expect a typical charge of $72.38 and an average copayment of 18.09. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on September 21, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.