Ashley Coby Lackey, CRNP - Medicare Nurse Practitioner in Smiths Station, AL

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Ashley Coby Lackey, CRNP is a medicare enrolled "Nurse Practitioner" in Smiths Station, Alabama. She went to University Of Alabama School Of Medicine and graduated in 2009 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Gana Holdings, Llc, Magnolia Medical Llc and her current practice location is 19707 Us Highway 280 E, Apt 1309, Smiths Station, Alabama. You can reach out to her office (for appointments etc.) via phone at (256) 572-5936.

Ashley Coby Lackey is licensed to practice in Alabama (license number 1-122189) 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 1679847487.

Contact Information

Ashley Coby Lackey, CRNP
19707 Us Highway 280 E, Apt 1309,
Smiths Station, AL 36877-4031
(256) 572-5936
Not Available

Map and Direction




Provider's Profile

Full NameAshley Coby Lackey
GenderFemale
SpecialityNurse Practitioner
Experience16 Years
Location19707 Us Highway 280 E, Smiths Station, Alabama
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ashley Coby Lackey attended and graduated from University Of Alabama School Of Medicine in 2009
  NPI Data:
  • NPI Number: 1679847487
  • Provider Enumeration Date: 02/27/2012
  • Last Update Date: 05/19/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3476714676
  • Enrollment ID: I20120416000461

Medical Identifiers

Medical identifiers for Ashley Coby Lackey such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679847487NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 1-122189 (Alabama)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Vincents BlountOneonta, ALHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Gana Holdings, Llc34769784126
Magnolia Medical Llc99315084393

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. Ashley Coby Lackey allows following entities to bill medicare on her behalf.
Entity NameUnited Doctors Family Medical Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013313709
PECOS PAC ID: 0648597567
Enrollment ID: O20150402000069
Entity NameSouthern Divine Family Medical Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104456920
PECOS PAC ID: 0648692582
Enrollment ID: O20200622002415
Entity NameGana Holdings, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396375267
PECOS PAC ID: 3476978412
Enrollment ID: O20200807000386
Entity NameMagnolia Medical Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851976054
PECOS PAC ID: 9931508439
Enrollment ID: O20210714000568

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. Ashley Coby Lackey 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 AddressPractice Location Address
Ashley Coby Lackey, CRNP
2986 Us Highway 431,
Boaz, AL 35957-5848

Ph: (256) 572-5936		Ashley Coby Lackey, CRNP
19707 Us Highway 280 E, Apt 1309,
Smiths Station, AL 36877-4031

Ph: (256) 572-5936

Reviews and Comments


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Trenton Watson, NP
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Phone: 850-814-4107    
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Phone: 334-528-3662    
Tamara Rene Quinones, FNP-C
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Phone: 706-615-8887    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.