Lacey Lundgren, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Bastrop, Texas. She graduated from medical school in 2013 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Geode Health Of Texas, Pllc and her current practice location is
1128 Tx-21, Bastrop, Texas. You can reach out to her office (for appointments etc.) via phone at
(844) 215-4498.
Lacey Lundgren is licensed to practice in Texas (license number AP125777) 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 1689088205.
Physician's Profile
| Full Name | Lacey Lundgren |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 13 Years |
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| Location | 1128 Tx-21, Bastrop, Texas |
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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:
- Lacey Lundgren graduated from medical school in 2013
NPI Data:
- NPI Number: 1689088205
- Provider Enumeration Date: 06/12/2014
- Last Update Date: 08/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 8426270596
- Enrollment ID: I20141105002608
Medical Identifiers
Medical identifiers for Lacey Lundgren such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689088205 | NPI | - | NPPES |
| 342462401 | Medicaid | TX | |
| 791283 | Other | TX | RN LICENSE |
| AP125777 | Other | TX | APRN LICENSE NO. |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | AP125777 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP125777 (Texas) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP125777 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Geode Health Of Texas, Pllc | 2062896897 | 152 |
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. Lacey Lundgren allows following entities to bill medicare on her behalf.
| Entity Name | Bluebonnet Trails Community Mhmr Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730135864
PECOS PAC ID: 5799775409
Enrollment ID: O20040514000751 |
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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. Lacey Lundgren 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 |
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Lacey Lundgren, APRN
16800 Lund Rd N,
Elgin, TX 78621-3830
Ph: (512) 413-5190 | Lacey Lundgren, APRN
1128 Tx-21,
Bastrop, TX 78602-4298
Ph: (844) 215-4498 |
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