| Dr Jeffrey N Lackey, MD | |
|
Walter Reed National Military Ctr, 8901 Wisconsin Ave, Bethesda, MD 20889-0001 | |
| (301) 295-4551 | |
| Not Available |
| Full Name | Dr Jeffrey N Lackey |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 19 Years |
| Location | Walter Reed National Military Ctr, Bethesda, Maryland |
| 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 |
|---|---|---|---|
| 1548302615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 308166 (Louisiana) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 0101242335 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tulane Medical Center | New orleans, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Administrators Of The Tulane Educational Fund | 0446163760 | 370 |
| 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 | Administrators Of The Tulane Educational Fund |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245434224 PECOS PAC ID: 0446163760 Enrollment ID: O20040114000146 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jeffrey N Lackey, MD Walter Reed National Military Ctr, 8901 Wisconsin Ave, Bethesda, MD 20889-0001 Ph: (301) 295-4551 | Dr Jeffrey N Lackey, MD Walter Reed National Military Ctr, 8901 Wisconsin Ave, Bethesda, MD 20889-0001 Ph: (301) 295-4551 |
Dr. Liesl Shockley Grenier, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 8901 Rockville Pike, Bethesda, MD 20889 Phone: 301-295-4000 | |
Anita Iyer, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 6500 Rock Spring Dr Ste 105, Bethesda, MD 20817 Phone: 301-530-8300 Fax: 301-530-4638 | |
Dr. Leonard Charles Sperling, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 8901 Rockville Pike, Bethesda, MD 20889 Phone: 301-943-9239 Fax: 301-295-3150 | |
Dr. Ariel Gelman, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 8901 Rockville Pike Bldg 19, Bethesda, MD 20889 Phone: 301-295-4551 | |
Kathleen Kramer, MD Dermatology Medicare: Medicare Enrolled Practice Location: 4494 Palmer Rd. N, Bethesda, MD 20814 Phone: 301-295-4000 | |
Dr. Boris D Lushniak, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 8901 Wisconsin Ave, Nnmc Dept Of Professional Affairs, Bethesda, MD 20889 Phone: 301-295-6231 Fax: 301-295-5928 | |
Dr. Caitlin Fink, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 8901 Wisconsin Ave, Bethesda, MD 20889 Phone: 301-295-4551 |