Davon Lackie, in Searcy, AR - Medicare Nurse Practitioner

Davon Lackie, is a medicare enrolled "Nurse Practitioner - Acute Care" in Searcy, Arkansas. Her current practice location is 103 Woodlane Dr, Searcy, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 268-3733.

Davon Lackie is licensed to practice in Arkansas (license number A004220) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1063803567.

Contact Information

	Davon Lackie,
	103 Woodlane Dr, Searcy, AR 72143-6113
	(501) 268-3733
	Not Available

Map and Direction

Provider's Profile

Full Name	Davon Lackie
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	103 Woodlane Dr, Searcy, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063803567
Provider Enumeration Date: 02/05/2015
Last Update Date: 10/06/2021

Medicare PECOS Information:

PECOS PAC ID: 7719206911
Enrollment ID: I20150511002018

Medical Identifiers

Medical identifiers for Davon Lackie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063803567	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	A004220 (Arkansas)	Primary

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. Davon Lackie allows following entities to bill medicare on her behalf.

Entity Name	St Vincent Infirmary Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316991847 PECOS PAC ID: 5698674166 Enrollment ID: O20040103000052

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. Davon Lackie 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
Davon Lackie, 103 Woodlane Dr, Searcy, AR 72143-6113 Ph: () -	Davon Lackie, 103 Woodlane Dr, Searcy, AR 72143-6113 Ph: (501) 268-3733

Reviews and Comments

Nurse Practitioner Nurses in Searcy, AR

Elizabeth Thomason, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 610 Shepherd Dr, Searcy, AR 72143 Phone: 501-268-6831
Ms. Brittany Lynn Allen, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2900 Hawkins Dr, Searcy, AR 72143 Phone: 501-278-2800
Mrs. Patricia Pierce, APN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 400 S Main St Ste 100, Searcy, AR 72143 Phone: 501-279-9000
Melinda Lou Snider, RNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 112 Brantley Rd, Searcy, AR 72143 Phone: 501-268-6102 Fax: 501-268-4445
Nikki Michelle Taylor, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 103 Woodlane Dr, Searcy, AR 72143 Phone: 501-268-3733 Fax: 501-207-6139
Joseph Foley, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 610 Shepherd Dr, Searcy, AR 72143 Phone: 501-268-6831 Fax: 201-279-2402

Davon Lackie, - Medicare Nurse Practitioner in Searcy, AR