| Regina Lacy, MD | |
|
516 E Nizhoni Blvd, Gallup, NM 87301-5748 | |
| (505) 722-1000 | |
| Not Available |
| Full Name | Regina Lacy |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 28 Years |
| Location | 516 E Nizhoni Blvd, Gallup, New Mexico |
| 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 |
|---|---|---|---|
| 1427064591 | NPI | - | NPPES |
| 4112895 | Medicaid | NM | |
| 832081 | Medicaid | AZ | |
| 80038735 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD00040740 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Gallup Indian Medical Center | Gallup, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dhhs,phs,naihs Gallup Indian Medical Center | 3173436409 | 134 |
| Entity Name | Dhhs,phs,naihs Gallup Indian Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225002322 PECOS PAC ID: 3173436409 Enrollment ID: O20031111000840 |
| Mailing Address | Practice Location Address |
|---|---|
| Regina Lacy, MD Po Box 1337, Gallup, NM 87305-1337 Ph: (505) 722-1000 | Regina Lacy, MD 516 E Nizhoni Blvd, Gallup, NM 87301-5748 Ph: (505) 722-1000 |
Angela R Dorsey, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 | |
Donald Joel Lewis-kraitsik, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 516 E. Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-726-8740 | |
Margot Albert, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 | |
Aedra D. Andrade, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 610 N 5th St, Gallup, NM 87301 Phone: 505-863-3120 Fax: 505-863-2691 | |
Dr. Bert Clair Eliason, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 516 E. Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-726-8740 | |
Alma Julia Alford, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 516 E. Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-726-8740 | |
Dr. Curtis Olson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 |