Mrs Lacey Grimes Lichtenstein, NP-C in Gulfport, MS

Mrs Lacey Grimes Lichtenstein, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Gulfport, Mississippi. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Memorial Hospital At Gulfport and her current practice location is 1340 Broad Ave, Gulfport, Mississippi. You can reach out to her office (for appointments etc.) via phone at (228) 575-1234.

Mrs Lacey Grimes Lichtenstein is licensed to practice in Mississippi (license number F1214550) 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 1720477714.

Contact Information

	Mrs Lacey Grimes Lichtenstein, NP-C
	1340 Broad Ave, Gulfport, MS 39501-2404
	(228) 575-1234
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Lacey Grimes Lichtenstein
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	1340 Broad Ave, Gulfport, Mississippi
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:

Mrs Lacey Grimes Lichtenstein graduated from nursing school in 2014

NPI Data:

NPI Number: 1720477714
Provider Enumeration Date: 01/14/2015
Last Update Date: 10/27/2020

Medicare PECOS Information:

PECOS PAC ID: 1557675865
Enrollment ID: I20150730013015

Medical Identifiers

Medical identifiers for Mrs Lacey Grimes Lichtenstein such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720477714	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F1214550 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Memorial Hospital At Gulfport	Gulfport, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Memorial Hospital At Gulfport	2466524012	376

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Lacey Grimes Lichtenstein allows following entities to bill medicare on her behalf.

Entity Name	Memorial Hospital At Gulfport
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215546635 PECOS PAC ID: 2466524012 Enrollment ID: O20090515000396

Entity Name	Orange Grove Urgent Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831330661 PECOS PAC ID: 6103978721 Enrollment ID: O20090713000442

Entity Name	Ocean Springs Urgent Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871808022 PECOS PAC ID: 0244426195 Enrollment ID: O20101118000444

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. Mrs Lacey Grimes Lichtenstein 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
Mrs Lacey Grimes Lichtenstein, NP-C 1340 Broad Ave, Gulfport, MS 39501-2404 Ph: (228) 572-1234	Mrs Lacey Grimes Lichtenstein, NP-C 1340 Broad Ave, Gulfport, MS 39501-2404 Ph: (228) 575-1234

Reviews and Comments

Nurse Practitioner Nurses in Gulfport, MS

Brittany Nicole Coleman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12261 Highway 49, Suite 11, Gulfport, MS 39503 Phone: 228-575-2176
Tracy Leigh Ladner, C.F.N.P Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15200 Community Rd, Gulfport, MS 39503 Phone: 228-575-7000
Heather Lyn Jeffrey, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-867-4000
Mrs. Leigh P Drace, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 394 Courthouse Rd Ste A, Gulfport, MS 39507 Phone: 228-896-4417 Fax: 228-604-0121
Ashley Barq House, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4540 W Railroad St, Gulfport, MS 39501 Phone: 228-867-6062 Fax: 228-867-2598
Mrs. Carla Ann Rushing, AGACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-867-4000
Mrs. Michelle Wright Taylor, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15190 Community Rd, Ste 220, Gulfport, MS 39503 Phone: 228-539-3356

Mrs Lacey Grimes Lichtenstein, NP-C - Medicare Nurse Practitioner in Gulfport, MS