Betty Jane Lackey, DO - Medicare Family Medicine in Greenville, SC

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Betty Jane Lackey, DO is a medicare enrolled "Family Medicine - Hospice And Palliative Medicine" physician in Greenville, South Carolina. Her current practice location is 255 Enterprise Blvd Ste 101, Greenville, South Carolina. You can reach out to her office (for appointments etc.) via phone at (864) 454-8120.

Betty Jane Lackey is licensed to practice in South Carolina (license number 36751) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1043448509.

Contact Information

Betty Jane Lackey, DO
255 Enterprise Blvd Ste 101,
Greenville, SC 29615-3530
(864) 454-8120
(864) 454-8125

Map and Direction




Physician's Profile

Full NameBetty Jane Lackey
GenderFemale
SpecialityFamily Medicine - Hospice And Palliative Medicine
Location255 Enterprise Blvd Ste 101, Greenville, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043448509
  • Provider Enumeration Date: 06/23/2009
  • Last Update Date: 08/08/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5294057949
  • Enrollment ID: I20141208001135

Medical Identifiers

Medical identifiers for Betty Jane Lackey such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043448509NPI-NPPES
NPI #OtherSCBLUE CHOICE
367515MedicaidSC
NPI #OtherSCTRICARE
P01624384OtherSCRR MEDICARE
NPI #OtherSCBLUE CROSS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QG0300XFamily Medicine - Geriatric Medicine 36751 (South Carolina)Secondary
207QH0002XFamily Medicine - Hospice And Palliative Medicine 36751 (South Carolina)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

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. Betty Jane Lackey allows following entities to bill medicare on her behalf.
Entity NameAnmed Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710918321
PECOS PAC ID: 1951215243
Enrollment ID: O20031119000738
Entity NameSouth Carolina Dept Of Mental Health Accounting Office
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902476443
PECOS PAC ID: 9032021175
Enrollment ID: O20071217000080

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. Betty Jane Lackey 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 AddressPractice Location Address
Betty Jane Lackey, DO
800 N Fant St,
Anderson, SC 29621-5708

Ph: (864) 512-1000		Betty Jane Lackey, DO
255 Enterprise Blvd Ste 101,
Greenville, SC 29615-3530

Ph: (864) 454-8120

Reviews and Comments


Family Medicine Doctors in Greenville, SC

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Steven M Newman, M.D.
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Dr. Fariha Batool Sultan, M.D.
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Jamie C Goodman, DO
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Allan Lee Gilmer, MD
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Practice Location: 1025 Verdae Blvd Ste A, Greenville, SC 29607
Phone: 864-242-4683    Fax: 864-248-8104

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.