| Dr Katrena Lee Lacey, MD | |
|
11946 Standing Stone Dr, Gretna, NE 68028-8094 | |
| (402) 815-4500 | |
| (402) 815-4510 |
| Full Name | Dr Katrena Lee Lacey |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 25 Years |
| Location | 11946 Standing Stone Dr, Gretna, Nebraska |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174618730 | NPI | - | NPPES |
| 47068731741 | Medicaid | NE | |
| 10026480100 | Medicaid | NE | |
| 47068731734 | Medicaid | NE | |
| 47068731749 | Medicaid | NE | |
| 47068731706 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 23157 (Nebraska) | Secondary |
| 208000000X | Pediatrics | 23157 (Nebraska) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| The Nebraska Methodist Hospital | Omaha, NE | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physicians Clinic Inc | 4880506062 | 536 |
| Entity Name | Physicians Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821049156 PECOS PAC ID: 4880506062 Enrollment ID: O20031105000345 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Katrena Lee Lacey, MD Po Box 3755, Omaha, NE 68103-0755 Ph: (402) 354-2100 | Dr Katrena Lee Lacey, MD 11946 Standing Stone Dr, Gretna, NE 68028-8094 Ph: (402) 815-4500 |
Dr. Shannon Kathleen Godsil, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11946 Standing Stone Dr, Gretna, NE 68028 Phone: 402-815-4500 Fax: 402-815-4510 | |
Dr. Katie Lora Vollmuth, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 102 W Gruenther Rd, Gretna, NE 68028 Phone: 402-332-2772 | |
Emily K Bendlin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 11946 Standing Stone Dr, Gretna, NE 68028 Phone: 402-815-4500 Fax: 402-815-4510 |