Jadeyn Lacey, - Registered Nurse in Bloomington, IL

Jadeyn Lacey, is a Registered Nurse based in Bloomington, Illinois. Jadeyn Lacey is licensed to practice in Illinois (license number 041.440517) and his current practice location is 1336 E Empire St, Bloomington, Illinois. He can be reached at his office (for appointments etc.) via phone at (309) 863-5454.

NPI number for Jadeyn Lacey is 1447949714 and his current mailing address is 2412 E Washington St Ste 4a, Bloomington, Illinois. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1447949714.

Contact Information

Jadeyn Lacey,
1336 E Empire St,
Bloomington, IL 61701-3420
(309) 863-5454
Not Available

Map and Direction




Provider's Profile

Full NameJadeyn Lacey
GenderMale
SpecialityRegistered Nurse
Location1336 E Empire St, Bloomington, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1447949714
  • Provider Enumeration Date: 05/03/2023
  • Last Update Date: 05/03/2023

Medical Identifiers

Medical identifiers for Jadeyn Lacey such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447949714NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WC0200XRegistered Nurse - Critical Care Medicine 041.440517 (Illinois)Secondary
163WE0003XRegistered Nurse - Emergency 041.440517 (Illinois)Secondary
163W00000XRegistered Nurse 041.440517 (Illinois)Primary

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. Jadeyn Lacey is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jadeyn Lacey,
2412 E Washington St Ste 4a,
Bloomington, IL 61704-1613

Ph: () -
Jadeyn Lacey,
1336 E Empire St,
Bloomington, IL 61701-3420

Ph: (309) 863-5454

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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