| Lacey Bennett Celani, NP | |
|
3272 E Rio Virgin Rd, Littlefield, AZ 86432-3200 | |
| (928) 347-5971 | |
| (928) 347-5793 |
| Full Name | Lacey Bennett Celani |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 3272 E Rio Virgin Rd, Littlefield, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972951119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 5251058-4405 (Utah) | Primary |
| Entity Name | Signify Health LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210225002062 |
| Mailing Address | Practice Location Address |
|---|---|
| Lacey Bennett Celani, NP 1055 N 500 W, Attn: Credentialing, Provo, UT 84604-3305 Ph: (801) 354-8225 | Lacey Bennett Celani, NP 3272 E Rio Virgin Rd, Littlefield, AZ 86432-3200 Ph: (928) 347-5971 |
Lone Birgit Stephens, PA-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: I-15 Exit 9 At The Firestation, Littlefield, AZ 86432 Phone: 928-347-5971 Fax: 928-347-5793 |
Kylee Martin, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3272 E Rio Virgin Rd, Littlefield, AZ 86432 Phone: 928-347-5971 |
Coalette Bedke, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 3272 E Rio Virgin Rd, Littlefield, AZ 86432 Phone: 928-347-5971 |