Brett David Lackie, DPT in Chanhassen, MN - Medicare Physical Therapy Provider

Brett David Lackie, DPT is a medicare enrolled "Physical Therapist" provider in Chanhassen, Minnesota. He went to University Of Minnesota Medical School and graduated in 2018 and has 6 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Park Nicollet Clinic and his current practice location is 300 Lake Dr E, Chanhassen, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 993-4300.

Brett David Lackie is licensed to practice in Minnesota (license number 11403) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1457812307.

Contact Information

	Brett David Lackie, DPT
	300 Lake Dr E, Chanhassen, MN 55317-9302
	(952) 993-4300
	(952) 993-4320

Map and Direction

Healthcare Provider's Profile

Full Name	Brett David Lackie
Gender	Male
Speciality	Physical Therapy
Experience	6 Years
Location	300 Lake Dr E, Chanhassen, Minnesota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Brett David Lackie attended and graduated from University Of Minnesota Medical School in 2018

NPI Data:

NPI Number: 1457812307
Provider Enumeration Date: 03/25/2019
Last Update Date: 03/25/2019

Medicare PECOS Information:

PECOS PAC ID: 9133460496
Enrollment ID: I20190415001241

Medical Identifiers

Medical identifiers for Brett David Lackie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457812307	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	11403 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Park Nicollet Clinic	7911819438	1529

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. Brett David Lackie allows following entities to bill medicare on his behalf.

Provider Name	Park Nicollet Clinic
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046

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. Brett David Lackie 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
Brett David Lackie, DPT 10707 Direct River Dr Nw, Coon Rapids, MN 55433-3922 Ph: (612) 385-4956	Brett David Lackie, DPT 300 Lake Dr E, Chanhassen, MN 55317-9302 Ph: (952) 993-4300

Reviews and Comments

Physical Therapist in Chanhassen, MN

Sierra N Wells, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2665 W 78th St, Chanhassen, MN 55317 Phone: 877-609-0123
Jill M Lawrence, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2665 W 78th St, Chanhassen, MN 55317 Phone: 952-835-4512 Fax: 888-425-0398
Patricia Kathleen Oys, P.T. , DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 300 Lake Dr E, Chanhassen, MN 55317 Phone: 952-993-4300
Ellen Johnson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7872 Century Boulevand, Chanhassen, MN 55317 Phone: 952-448-9081
Jessie Nicole Stevens, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7872 Century Blvd, Chanhassen, MN 55317 Phone: 952-448-9081
Erik Thomas Krueger, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2665 W 78th St, Chanhassen, MN 55317 Phone: 952-835-4512 Fax: 888-425-0398
Tanner Louis King, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 7872 Century Blvd, Chanhassen, MN 55317 Phone: 952-448-9081 Fax: 952-448-9088

Brett David Lackie, DPT - Medicare Physical Therapist in Chanhassen, MN