| Dr Wesley Grayson Lackey, MD | |
|
6920 Gatwick Dr, Suite 200, Indianapolis, IN 46241-9504 | |
| (317) 455-1064 | |
| (317) 455-1204 |
| Full Name | Dr Wesley Grayson Lackey |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 18 Years |
| Location | 6920 Gatwick Dr, Indianapolis, Indiana |
| 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 |
|---|---|---|---|
| 1033314984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | LL29757 (South Carolina) | Secondary |
| 207X00000X | Orthopaedic Surgery | 01071508A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health | Bloomington, IN | Home health agency |
| Franciscan Health Mooresville | Mooresville, IN | Hospital |
| Ascension St Vincent Clay | Brazil, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Indiana Orthopedics Llc | 5698667822 | 137 |
| Us Therapy Inc | 6507893187 | 59 |
| Entity Name | Central Indiana Orthopedics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063422137 PECOS PAC ID: 5698667822 Enrollment ID: O20040325000156 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Wesley Grayson Lackey, MD 3600 W Bethel Ave, Muncie, IN 47304-5407 Ph: () - | Dr Wesley Grayson Lackey, MD 6920 Gatwick Dr, Suite 200, Indianapolis, IN 46241-9504 Ph: (317) 455-1064 |
Heather Celia Williams, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 8450 Northwest Blvd, Indianapolis, IN 46278 Phone: 317-802-2000 Fax: 317-802-2170 | |
Charles Philip Bartley Jr., M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 5255 E Stop 11 Rd, Suite 300, Indianapolis, IN 46237 Phone: 317-528-4723 Fax: 317-528-4699 | |
Dr. Renn J Crichlow, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 8402 Harcourt Rd, Indianapolis, IN 46260 Phone: 317-802-2000 | |
Mihir M Patel, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 8450 Northwest Blvd., Indianapolis, IN 46278 Phone: 317-802-2000 Fax: 317-802-2170 | |
Thomas Kyle Stoops, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1801 N Senate Blvd Ste 535, Indianapolis, IN 46202 Phone: 804-389-1025 | |
Aki Sefaro Puryear, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 705 Riley Hospital Dr, Indianapolis, IN 46202 Phone: 317-948-2550 |