Nicholas David Lacey, PT, DPT in Arroyo Grande, CA - Medicare Physical Therapy Provider

Nicholas David Lacey, PT, DPT is a medicare enrolled "Physical Therapist" provider in Arroyo Grande, California. He went to State University Of New York At Stony Brook, School Of Medicine 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 California Luna Care Physical Therapy Pc and his current practice location is 1510 W Branch St, Arroyo Grande, California. You can reach out to his office (for appointments etc.) via phone at (805) 489-7912.

Nicholas David Lacey is licensed to practice in California (license number 296330) 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 1639638984.

Contact Information

	Nicholas David Lacey, PT, DPT
	1510 W Branch St, Arroyo Grande, CA 93420-1817
	(805) 489-7912
	(805) 489-9697

Map and Direction

Healthcare Provider's Profile

Full Name	Nicholas David Lacey
Gender	Male
Speciality	Physical Therapy
Experience	6 Years
Location	1510 W Branch St, Arroyo Grande, California
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:

Nicholas David Lacey attended and graduated from State University Of New York At Stony Brook, School Of Medicine in 2018

NPI Data:

NPI Number: 1639638984
Provider Enumeration Date: 03/17/2019
Last Update Date: 03/11/2024

Medicare PECOS Information:

PECOS PAC ID: 6507196466
Enrollment ID: I20190919002509

Medical Identifiers

Medical identifiers for Nicholas David Lacey such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639638984	NPI	-	NPPES
14366874	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	296330 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
California Luna Care Physical Therapy Pc	9638427834	531

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. Nicholas David Lacey allows following entities to bill medicare on his behalf.

Provider Name	Proactive Physical Therapy & Sports Medicine Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1285729509 PECOS PAC ID: 1557369436 Enrollment ID: O20061201000533

Provider Name	California Luna Care Physical Therapy Pc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1689162166 PECOS PAC ID: 9638427834 Enrollment ID: O20180803002123

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. Nicholas David Lacey 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
Nicholas David Lacey, PT, DPT 408 Higuera St Ste 200, San Luis Obispo, CA 93401-6135 Ph: (805) 788-0805	Nicholas David Lacey, PT, DPT 1510 W Branch St, Arroyo Grande, CA 93420-1817 Ph: (805) 489-7912

Reviews and Comments

Physical Therapist in Arroyo Grande, CA

Pacific Coast Spine Center Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 880 Oak Park Blvd, Suite 201, Arroyo Grande, CA 93420 Phone: 805-489-1477 Fax: 805-489-2356
Margaret Eileen Moynihan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2480 Brady Ln, Arroyo Grande, CA 93420 Phone: 805-709-7763
Dr. Mark Brostman, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1055 Rogers Ct, Arroyo Grande, CA 93420 Phone: 248-891-0301
Doulas Mchargue, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 117 S Halcyon Rd, Arroyo Grande, CA 93420 Phone: 805-481-5656 Fax: 805-481-5749
Rosanna Paule, PT, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1510 W Branch St, Arroyo Grande, CA 93420 Phone: 805-489-7912 Fax: 805-489-9697
Movement For Life Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1510 W Branch St, Arroyo Grande, CA 93420 Phone: 805-489-7912 Fax: 805-489-9697
805groverpt Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1024 Robin Cir, Arroyo Grande, CA 93420 Phone: 805-556-2446

Nicholas David Lacey, PT, DPT - Medicare Physical Therapist in Arroyo Grande, CA