Dr Logan B Lackey Ii, MD - Medicare Diagnostic Radiology in Springfield, MO

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Dr Logan B Lackey Ii, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Springfield, Missouri. He went to Northeastern Ohio University College Of Medicine and graduated in 2010 and has 16 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Specialists In Medical Imaging Sc, Blessing Hospital, Specialists In Medical Imaging Sc, Freeman-oak Hill Health System, Breast Imaging Of The Ozarks Llc, Blessing Hospital and his current practice location is 2055 S Fremont Ave, Suite 120, Springfield, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 820-2500.

Dr Logan B Lackey Ii is licensed to practice in Missouri (license number 2016020760) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1740506419.

Contact Information

Dr Logan B Lackey Ii, MD
2055 S Fremont Ave, Suite 120,
Springfield, MO 65804-2206
(417) 820-2500
Not Available

Map and Direction




Physician's Profile

Full NameDr Logan B Lackey Ii
GenderMale
SpecialityDiagnostic Radiology
Experience16 Years
Location2055 S Fremont Ave, Springfield, Missouri
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Logan B Lackey Ii attended and graduated from Northeastern Ohio University College Of Medicine in 2010
  NPI Data:
  • NPI Number: 1740506419
  • Provider Enumeration Date: 04/20/2010
  • Last Update Date: 10/13/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 6901198639
  • Enrollment ID: I20160715001579

Medical Identifiers

Medical identifiers for Dr Logan B Lackey Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740506419NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 2016020760 (Missouri)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
2085R0202XRadiology - Diagnostic Radiology 336119233 (Illinois)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Blessing HospitalQuincy, ILHospital
Illini Community HospitalPittsfield, ILHospital
Freeman Neosho HospitalNeosho, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Specialists In Medical Imaging Sc2163733544228
Blessing Hospital3072422534414
Specialists In Medical Imaging Sc2163733544228
Freeman-oak Hill Health System8325942253385
Breast Imaging Of The Ozarks Llc02446001462
Blessing Hospital3072422534414

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 Logan B Lackey Ii allows following entities to bill medicare on his behalf.
Entity NameWashington University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962442475
PECOS PAC ID: 9830008770
Enrollment ID: O20031204000987
Entity NameFreeman-oak Hill Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891809679
PECOS PAC ID: 8325942253
Enrollment ID: O20040107000022
Entity NameFreeman-oak Hill Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679517023
PECOS PAC ID: 8325942253
Enrollment ID: O20040218000570
Entity NameSpecialists in Medical Imaging, SC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841687951
PECOS PAC ID: 2163733544
Enrollment ID: O20151124000342
Entity NameBlessing Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114471737
PECOS PAC ID: 3072422534
Enrollment ID: O20171221000766
Entity NameMiracl LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205304300
PECOS PAC ID: 4587908041
Enrollment ID: O20181210003487
Entity NameBreast Imaging of the Ozarks LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417600412
PECOS PAC ID: 0244600146
Enrollment ID: O20230111001024

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 Logan B Lackey Ii 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 AddressPractice Location Address
Dr Logan B Lackey Ii, MD
2055 S Fremont Ave Ste 120,
Springfield, MO 65804-2206

Ph: (417) 820-2500		Dr Logan B Lackey Ii, MD
2055 S Fremont Ave, Suite 120,
Springfield, MO 65804-2206

Ph: (417) 820-2500

Reviews and Comments


Radiology Doctors in Springfield, MO

Michael R Fancher, M.D.
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Tracy Lynn Roberts, M.D.
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Dr. Bryan Su-hyun Jeun, MD
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Dr. Christopher Fleighton Estes, M.D.
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Phone: 417-820-2468    Fax: 417-820-7794
Martin Mazen Anbari, M.D.
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Practice Location: 3801 S National Ave, Springfield, MO 65807
Phone: 417-269-4056    Fax: 417-269-5556

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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