| Dr Gregory Lamont Lacy Ii, MD | |
|
800 Howard Ave, New Haven, CT 06519-1369 | |
| (203) 785-2815 | |
| (203) 785-4043 |
| Full Name | Dr Gregory Lamont Lacy Ii |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 23 Years |
| Location | 800 Howard Ave, New Haven, Connecticut |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073564829 | NPI | - | NPPES |
| 2336495 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 15489R (Louisiana) | Secondary |
| 208800000X | Urology | 71573 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Leonard J Chabert Medical Center | Houma, LA | Hospital |
| New Orleans East Hospital | New orleans, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lcmc Health Clinical Services Llc | 3274883681 | 11 |
| South Louisiana Medical Associates | 8527968650 | 108 |
| Entity Name | Administrators Of The Tulane Educational Fund |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528014164 PECOS PAC ID: 0446163760 Enrollment ID: O20031201000636 |
| Entity Name | South Louisiana Medical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942301379 PECOS PAC ID: 8527968650 Enrollment ID: O20040113000589 |
| Entity Name | New Orleans East Wellness Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467850743 PECOS PAC ID: 3870811920 Enrollment ID: O20150421002058 |
| Entity Name | Lcmc Health Clinical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417446501 PECOS PAC ID: 3274883681 Enrollment ID: O20180906000155 |
| Entity Name | Ambulatory Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871265694 PECOS PAC ID: 4789078957 Enrollment ID: O20220304000082 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gregory Lamont Lacy Ii, MD 1990 Industrial Blvd, Houma, LA 70363-7055 Ph: (985) 868-9300 | Dr Gregory Lamont Lacy Ii, MD 800 Howard Ave, New Haven, CT 06519-1369 Ph: (203) 785-2815 |
Dr. Thomas V. Martin, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 330 Orchard St, Suite 164, New Haven, CT 06511 Phone: 203-789-2222 Fax: 203-624-3697 | |
John W Colberg, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 800 Howard Ave, Yale Physicians Building 3rd Floor, New Haven, CT 06519 Phone: 203-785-2815 Fax: 203-785-4043 | |
Harris E Foster Jr., MD Urology Medicare: Accepting Medicare Assignments Practice Location: 800 Howard Avenue #318, New Haven, CT 06520 Phone: 203-785-2815 Fax: 203-785-4043 | |
Michael Howard Siev, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 20 York St, New Haven, CT 06510 Phone: 203-688-4242 | |
Syed Muneeb Alam, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 789 Howard Ave, New Haven, CT 06519 Phone: 203-785-2815 | |
Ralph J Devito, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 330 Orchard St, Suite 164, New Haven, CT 06511 Phone: 203-789-2222 Fax: 203-624-3697 |