Dr Katrena Lee Lacey, MD is a medicare enrolled "Pediatrics" physician in Gretna, Nebraska. She went to University Of Nebraska College Of Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Physicians Clinic Inc and her current practice location is
11946 Standing Stone Dr, Gretna, Nebraska. You can reach out to her office (for appointments etc.) via phone at
(402) 815-4500.
Dr Katrena Lee Lacey is licensed to practice in Nebraska (license number 23157) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1174618730.
Physician's Profile
| Full Name | Dr Katrena Lee Lacey |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Experience | 23 Years |
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| Location | 11946 Standing Stone Dr, Gretna, Nebraska |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Katrena Lee Lacey attended and graduated from University Of Nebraska College Of Medicine in 2001
NPI Data:
- NPI Number: 1174618730
- Provider Enumeration Date: 10/03/2006
- Last Update Date: 10/02/2015
Medicare PECOS Information:
- PECOS PAC ID: 8022119742
- Enrollment ID: I20070725000512
Medical Identifiers
Medical identifiers for Dr Katrena Lee Lacey such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174618730 | NPI | - | NPPES |
| 47068731741 | Medicaid | NE | |
| 10026480100 | Medicaid | NE | |
| 47068731734 | Medicaid | NE | |
| 47068731749 | Medicaid | NE | |
| 47068731706 | Medicaid | NE | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 23157 (Nebraska) | Secondary |
| 208000000X | Pediatrics | 23157 (Nebraska) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Physicians Clinic Inc | 4880506062 | 497 |
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. Dr Katrena Lee Lacey allows following entities to bill medicare on her behalf.
| Entity Name | Physicians Clinic Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821049156
PECOS PAC ID: 4880506062
Enrollment ID: O20031105000345 |
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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. Dr Katrena Lee Lacey 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 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 |
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