Ms Michelle B Lackamp, PA-C is a medicare enrolled "Physician Assistant" physician in Lawrence, Kansas. She went to University Of Missouri, Kansas City, School Of Medicine and graduated in 2019 and has 5 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Shawnee Mission Medical Center Inc and her current practice location is
4921 W 18th St, Lawrence, Kansas. You can reach out to her office (for appointments etc.) via phone at
(785) 830-0100.
Ms Michelle B Lackamp is licensed to practice in Kansas (license number 15-02229) 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 1881155190.
Physician's Profile
Full Name | Ms Michelle B Lackamp |
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Gender | Female |
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Speciality | Physician Assistant |
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Experience | 5 Years |
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Location | 4921 W 18th St, Lawrence, Kansas |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Ms Michelle B Lackamp attended and graduated from University Of Missouri, Kansas City, School Of Medicine in 2019
NPI Data:
- NPI Number: 1881155190
- Provider Enumeration Date: 03/28/2019
- Last Update Date: 09/01/2021
Medicare PECOS Information:
- PECOS PAC ID: 7416284229
- Enrollment ID: I20190815002704
Medical Identifiers
Medical identifiers for Ms Michelle B Lackamp such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881155190 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 15-02229 (Kansas) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
363A00000X | Physician Assistant | 15-02229 (Kansas) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Shawnee Mission Medical Center Inc | 9537119037 | 177 |
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. Ms Michelle B Lackamp 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 Address | Practice Location Address |
Ms Michelle B Lackamp, PA-C 4921 W 18th St, Lawrence, KS 66047-2090 Ph: (785) 830-0100 | Ms Michelle B Lackamp, PA-C 4921 W 18th St, Lawrence, KS 66047-2090 Ph: (785) 830-0100 |
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