| David William Lacey, MD | |
|
70 Medical Center Cir Ste 302, Fishersville, VA 22939-2273 | |
| (540) 245-7400 | |
| (540) 245-7401 |
| Full Name | David William Lacey |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 70 Medical Center Cir Ste 302, Fishersville, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205838968 | NPI | - | NPPES |
| 0982950 | Medicaid | OH | |
| 890676X | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 0101267148 (Virginia) | Primary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 2009-01893 (North Carolina) | Secondary |
| Entity Name | Wake Forest University Health Sciences |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436 |
| Mailing Address | Practice Location Address |
|---|---|
| David William Lacey, MD Po Box 388, Fishersville, VA 22939-0388 Ph: (540) 932-5162 | David William Lacey, MD 70 Medical Center Cir Ste 302, Fishersville, VA 22939-2273 Ph: (540) 245-7400 |
Deirdre C. Kerrigan, Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 83 Crossroads Lane, Fishersville, VA 22939 Phone: 872-231-3162 | |
Mrs. Emily Strole, LMT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 75 Monroe Ln, Fishersville, VA 22939 Phone: 540-290-5771 | |
Dr. Douglas P Murphy, M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 243 Woodrow Wilson Lane, Fishersville, VA 22939 Phone: 540-332-7497 | |
Amberly Keyes, PA-C Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 100 Baldwin Blvd, Fishersville, VA 22939 Phone: 540-887-4000 | |
Dr. Mammen M Mathew, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 243 Woodrow Wilson Lane, Fishersville, VA 22939 Phone: 540-332-7082 |