| Lacey Ann Hackworth-rothwell, FNP | |
|
6815 Hill Ct, Azle, TX 76020-5513 | |
| (903) 650-8939 | |
| Not Available |
| Full Name | Lacey Ann Hackworth-rothwell |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 6815 Hill Ct, Azle, Texas |
| 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 |
|---|---|---|---|
| 1740046077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 1187990 (Texas) | Primary |
| 363L00000X | Nurse Practitioner | 2024007853 (Missouri) | Secondary |
| 363L00000X | Nurse Practitioner | 53-82956 (Kansas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christus Good Shepherd Medical Center | Longview, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Segue Health Of Texas Pllc | 8921400953 | 16 |
| Entity Name | Segue Health Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215510763 PECOS PAC ID: 8921400953 Enrollment ID: O20210713001669 |
| Mailing Address | Practice Location Address |
|---|---|
| Lacey Ann Hackworth-rothwell, FNP 418 Sunflower Dr, Raymore, MO 64083-7813 Ph: (903) 276-5017 | Lacey Ann Hackworth-rothwell, FNP 6815 Hill Ct, Azle, TX 76020-5513 Ph: (903) 650-8939 |
Frederica D Matzner, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 108 Denver Trl, Azle, TX 76020 Phone: 817-820-4906 Fax: 817-820-4815 | |
Kathryn Anne Guardado, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 141 Industrial Ave, Azle, TX 76020 Phone: 817-444-3231 Fax: 817-444-3234 | |
Kathleen Maria Jones, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 460 Northwest Pkwy, Azle, TX 76020 Phone: 817-444-7099 | |
Robin Sustala, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 141 Industrial Ave, Azle, TX 76020 Phone: 817-270-3132 | |
Misa J Wilcox, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 141 Industrial Ave, Azle, TX 76020 Phone: 817-270-3132 | |
Mrs. Margaret Len Schwake, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 460 Northwest Pkwy, Azle, TX 76020 Phone: 866-389-2727 | |
Rachel Adams Moore, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 141 Industrial Ave, Azle, TX 76020 Phone: 817-444-3231 |