| Lacey Durham, MD | |
|
3445 Executive Center Dr Ste 250, Austin, TX 78731-1678 | |
| (512) 579-4000 | |
| (512) 439-2814 |
| Full Name | Lacey Durham |
|---|---|
| Gender | Female |
| Speciality | Pathology |
| Experience | 6 Years |
| Location | 3445 Executive Center Dr Ste 250, Austin, Texas |
| 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 |
|---|---|---|---|
| 1215564042 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northwestern Memorial Hospital | Chicago, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northwestern Medical Faculty Foundation | 4587576814 | 4386 |
| Entity Name | Northwestern Medical Faculty Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
| Mailing Address | Practice Location Address |
|---|---|
| Lacey Durham, MD 3445 Executive Center Dr Ste 250, Austin, TX 78731-1678 Ph: (512) 579-4000 | Lacey Durham, MD 3445 Executive Center Dr Ste 250, Austin, TX 78731-1678 Ph: (512) 579-4000 |
Dr. Joseph Howard Willman, MD Pathology Medicare: Medicare Enrolled Practice Location: 3445 Executive Center Dr, Suite 250, Austin, TX 78731 Phone: 512-579-4000 Fax: 512-439-2814 |
Dr. Robert Domingo, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 12357 A Riata Trace Pkwy, Bldg 5, Ste 100, Thyroid Cytopathology Partners, Austin, TX 78727 Phone: 512-814-0298 Fax: 512-597-2713 |
Christine Renee Burgess, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 3445 Executive Center Drive, Ste 250, Austin, TX 78731 Phone: 512-579-4000 Fax: 512-439-2814 |
Dr. Grace Nightingale Cortez Jackson, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 3445 Executive Center Drive, Suite 250, Austin, TX 78731 Phone: 512-579-4000 Fax: 512-439-2814 |
Jared Dale Barker, D.O. Pathology Medicare: Medicare Enrolled Practice Location: 3445 Executive Center Dr., Ste 250, Austin, TX 78731 Phone: 512-579-4000 Fax: 512-439-2814 |
Vilmos A Thomazy, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 12221 N Mopac Expressway, Namc Department Of Pathology, Austin, TX 78756 Phone: 512-901-1206 Fax: 512-901-1299 |
Dr. Paul Brooks Gaudin, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 3445 Executive Center Dr, Suite 250, Austin, TX 78731 Phone: 512-579-4000 Fax: 512-439-2814 |