Lacey Ann Guedry, FNP-C - Medicare Nurse Practitioner in Sour Lake, TX

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Lacey Ann Guedry, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Sour Lake, Texas. She graduated from nursing school in 2016 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Sour Lake Health And Medical, Pllc and her current practice location is 689 6th Street, Sour Lake, Texas. You can reach out to her office (for appointments etc.) via phone at (409) 287-4100.

Lacey Ann Guedry is licensed to practice in Texas (license number AP131235) 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 1821449208.

Contact Information

Lacey Ann Guedry, FNP-C
689 6th Street,
Sour Lake, TX 77659-7765
(409) 287-4100
(409) 287-4105

Map and Direction




Provider's Profile

Full NameLacey Ann Guedry
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location689 6th Street, Sour Lake, Texas
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:
  • Lacey Ann Guedry graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1821449208
  • Provider Enumeration Date: 06/27/2016
  • Last Update Date: 01/03/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2860725660
  • Enrollment ID: I20190611000969

Medical Identifiers

Medical identifiers for Lacey Ann Guedry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821449208NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family AP131235 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Christus Southeast Texas- St ElizabethBeaumont, TXHospital
Baptist Beaumont HospitalBeaumont, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sour Lake Health And Medical, Pllc00424733812

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. Lacey Ann Guedry allows following entities to bill medicare on her behalf.
Entity NameSour Lake Health & Medical, PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346511433
PECOS PAC ID: 0042473381
Enrollment ID: O20120523000486

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. Lacey Ann Guedry 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
Lacey Ann Guedry, FNP-C
Po Box 429,
Sour Lake, TX 77659-0429

Ph: (409) 287-4100		Lacey Ann Guedry, FNP-C
689 6th Street,
Sour Lake, TX 77659-7765

Ph: (409) 287-4100

Reviews and Comments


Nurse Practitioner Nurses in Sour Lake, TX

Miss Patricia Ann Heirtzler, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 689 6th St, Sour Lake, TX 77659
Phone: 409-287-4100    Fax: 409-287-4105
Ginger Lee Coburn, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 16019 Atlantic Rd, Sour Lake, TX 77659
Phone: 409-651-0856    
Amy Renee Dale, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: Po Box 429, Sour Lake, TX 77659
Phone: 409-782-1309    

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.