John P Lacey Jr, is a medicare enrolled "Urology" physician in West Bend, Wisconsin. His current practice location is
3200 Pleasant Valley Rd, West Bend Clinic-urology, West Bend, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(262) 836-7300.
John P Lacey Jr is licensed to practice in Wisconsin (license number 31345) 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 1578645305.
Physician's Profile
| Full Name | John P Lacey Jr |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 3200 Pleasant Valley Rd, West Bend, Wisconsin |
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| Accepts Medicare Assignments | Yes. He 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:
- John P Lacey Jr attended and graduated from in
NPI Data:
- NPI Number: 1578645305
- Provider Enumeration Date: 10/20/2006
- Last Update Date: 09/05/2013
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for John P Lacey Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578645305 | NPI | - | NPPES |
| 1578645305 | Medicaid | WI | |
| 7708 | Other | | INTERNAL ID-MOTOR VEHICLE ID |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208800000X | Urology | 31345 (Wisconsin) | Primary |
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. John P Lacey Jr 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 |
|---|
John P Lacey Jr,
3200 Pleasant Valley Rd, West Bend Clinic-urology,
West Bend, WI 53095-9274
Ph: (262) 836-7300 | John P Lacey Jr,
3200 Pleasant Valley Rd, West Bend Clinic-urology,
West Bend, WI 53095-9274
Ph: (262) 836-7300 |
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