| Heather Lacy, PA | |
|
6310 Health Park Way Ste 200, Lakewood Ranch, FL 34202-5177 | |
| (941) 907-4737 | |
| (941) 907-9493 |
| Full Name | Heather Lacy |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 6310 Health Park Way Ste 200, Lakewood Ranch, 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 |
|---|---|---|---|
| 1235775453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA112700 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Alliance Telehealth Network Llc | 2466988308 | 5 |
| Entity Name | Alliance Telehealth Network LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477309789 PECOS PAC ID: 2466988308 Enrollment ID: O20241216001100 |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Lacy, PA 4371 Veronica S Shoemaker Blvd, Fort Myers, FL 33916-2216 Ph: (239) 274-8200 | Heather Lacy, PA 6310 Health Park Way Ste 200, Lakewood Ranch, FL 34202-5177 Ph: (941) 907-4737 |
Katelyn Crawford, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6310 Health Park Way Ste 330, Lakewood Ranch, FL 34202 Phone: 941-359-8900 |
Denise M. West, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8340 Lakewood Ranch Blvd Ste 260, Lakewood Ranch, FL 34202 Phone: 941-218-1711 Fax: 941-955-9806 |
Kellie Roesch, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5860 Ranch Lake Blvd Ste 200, Lakewood Ranch, FL 34202 Phone: 941-253-5751 |
Jason M Lee, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8340 Lakewood Ranch Blvd Ste 300, Lakewood Ranch, FL 34202 Phone: 941-792-1404 Fax: 941-761-0712 |
Laura Elizabeth Kiely, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8926 77th Ter E Unit 101, Lakewood Ranch, FL 34202 Phone: 941-907-0222 Fax: 941-907-0493 |
Beth Christine Kerneklian, PTA Physician Assistant Medicare: Medicare Enrolled Practice Location: 8936 77th Ter E Unit 101, Lakewood Ranch, FL 34202 Phone: 941-758-7300 |
Ilysa Karin Howarth, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 14405 Arbor Green Trl, Lakewood Ranch, FL 34202 Phone: 941-917-7080 Fax: 941-917-7085 |