| Amanda Lackaye, DNP, CRNA | |
|
7700 W Sunrise Blvd, Plantation, FL 33322-4113 | |
| (954) 939-5409 | |
| Not Available |
| Full Name | Amanda Lackaye |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 6 Years |
| Location | 7700 W Sunrise Blvd, Plantation, Florida |
| 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 |
|---|---|---|---|
| 1023669272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 6512 (North Carolina) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 128712 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carolinas Medical Center-northeast | Concord, NC | Hospital |
| Novant Health Forsyth Medical Center | Winston-salem, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Chs Anesthesia Services Group Inc | 5799007324 | 633 |
| Forsyth Memorial Hospital Inc | 9537071790 | 549 |
| Entity Name | Cumberland County Hospital System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881946242 PECOS PAC ID: 1850204041 Enrollment ID: O20031112000693 |
| Entity Name | Novant Health Thomasville Medical Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033160205 PECOS PAC ID: 5890605224 Enrollment ID: O20031222000916 |
| Entity Name | Medical Park Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003867516 PECOS PAC ID: 4880595958 Enrollment ID: O20040120000968 |
| Entity Name | The Presbyterian Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053365817 PECOS PAC ID: 1153231907 Enrollment ID: O20040223001121 |
| Entity Name | Forsyth Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104548874 PECOS PAC ID: 9537071790 Enrollment ID: O20040405001702 |
| Entity Name | Novant Health Rowan Medical Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508931544 PECOS PAC ID: 3375452519 Enrollment ID: O20040422001655 |
| Entity Name | Novant Health Matthews Medical Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184782419 PECOS PAC ID: 6406845247 Enrollment ID: O20051114000445 |
| Entity Name | Presbyterian Sameday Surgery Center At Ballantyne Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1215061049 PECOS PAC ID: 4587759949 Enrollment ID: O20070928000739 |
| Entity Name | Presbyterian Sameday Surgery Center At Huntersville Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1063641801 PECOS PAC ID: 8426197971 Enrollment ID: O20100521000450 |
| Entity Name | Brunswick Community Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669725198 PECOS PAC ID: 9335150895 Enrollment ID: O20130903000403 |
| Entity Name | Chs Anesthesia Services Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346649415 PECOS PAC ID: 5799007324 Enrollment ID: O20141209001856 |
| Entity Name | Novant Health Kernersville Outpatient Surgery Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1750892659 PECOS PAC ID: 3870858525 Enrollment ID: O20180530000007 |
| Entity Name | Novant Health Mint Hill Medical Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063910404 PECOS PAC ID: 8123374394 Enrollment ID: O20181018000540 |
| Entity Name | Novant Health Clemmons Outpatient Surgery Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1528521887 PECOS PAC ID: 6103154778 Enrollment ID: O20190820003091 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Lackaye, DNP, CRNA 214 Bellemeade St Apt 508, Greensboro, NC 27401-3068 Ph: (845) 656-6267 | Amanda Lackaye, DNP, CRNA 7700 W Sunrise Blvd, Plantation, FL 33322-4113 Ph: (954) 939-5409 |
Yeisirenia Padron Rodriguez, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7700 W Sunrise Blvd, Plantation, FL 33322 Phone: 800-437-2672 | |
Alexander Brigantty - Vazquez Sr., CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 7700 W Sunrise Blvd, Plantation, FL 33322 Phone: 954-939-6588 | |
Andrene Reid, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 Nw 42nd Ave, Plantation, FL 33317 Phone: 954-260-8293 | |
Mrs. Catherine Keyo, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 7700 W Sunrise Blvd, Plantation, FL 33322 Phone: 954-939-5577 | |
Aloune Diana Chariot, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7700 W Sunrise Blvd, Plantation, FL 33322 Phone: 800-437-2672 | |
Leiza Lee Norat Santiago, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7700 W Sunrise Blvd, Plantation, FL 33322 Phone: 954-303-5508 |