| Mary English Lacy, MD | |
|
Evergreen Hospital, 12040 Ne 128th St, Kirkland, WA 98034 | |
| (859) 583-6273 | |
| Not Available |
| Full Name | Mary English Lacy |
|---|---|
| Gender | Female |
| Speciality | Hospitalist |
| Experience | 15 Years |
| Location | Evergreen Hospital, Kirkland, Washington |
| 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 |
|---|---|---|---|
| 1598064040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 60391139 (Washington) | Primary |
| 207R00000X | Internal Medicine | MD2014-0481 (New Mexico) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Regional Medical Center Everett | Everett, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| King County Public Hospital District No 2 | 7618880097 | 529 |
| Providence Health And Services- Washington | 8325100480 | 413 |
| Entity Name | King County Public Hospital District No 2 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801986070 PECOS PAC ID: 7618880097 Enrollment ID: O20031111000557 |
| Entity Name | The Polyclinic Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174594634 PECOS PAC ID: 2163328196 Enrollment ID: O20031210000788 |
| Entity Name | Optum Care Washington Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831186766 PECOS PAC ID: 6406752153 Enrollment ID: O20031211000922 |
| Entity Name | Providence Health & Services-washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124270715 PECOS PAC ID: 8325100480 Enrollment ID: O20081224000111 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary English Lacy, MD 12040 Ne 128th St, Kirkland, WA 98034-3013 Ph: () - | Mary English Lacy, MD Evergreen Hospital, 12040 Ne 128th St, Kirkland, WA 98034 Ph: (859) 583-6273 |
Dr. Charles Ma, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 12040 Ne 128th St # 105, Kirkland, WA 98034 Phone: 425-899-2560 | |
Dr. Tristan Richard Osborn, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 12040 Ne 128th St # Ms 105, Kirkland, WA 98034 Phone: 425-899-2560 Fax: 425-899-2079 | |
Dr. Jaclyn Mcloughlin, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 12040 Ne 128th St, Kirkland, WA 98034 Phone: 808-780-5038 | |
Peter Schoonmaker, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 12040 Ne 128th Street, Ms105, Kirkland, WA 98034 Phone: 425-899-2560 | |
Dr. Nancy A Marshall, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 12040 Ne 128th St, Ms #105, Kirkland, WA 98034 Phone: 425-899-2560 Fax: 425-899-2079 | |
Rhea Patil, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 12040 Ne 128th St, Kirkland, WA 98034 Phone: 425-899-2560 |