Lacey Jackson Landon, AA - Medicare Anesthesiology Assistant in Tifton, GA

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Lacey Jackson Landon, AA is a medicare enrolled "Anesthesiologist Assistant" in Tifton, Georgia. She went to Emory University School Of Medicine and graduated in 2014 and has 11 years of diverse experience with area of expertise as Anesthesiology Assistant. She is a member of the group practice Phoebe Physician Group Inc and her current practice location is 901 18th St E, Tifton, Georgia. You can reach out to her office (for appointments etc.) via phone at (229) 382-7120.

Lacey Jackson Landon is licensed to practice in Georgia (license number ) 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 1174922314.

Contact Information

Lacey Jackson Landon, AA
901 18th St E,
Tifton, GA 31794-3648
(229) 382-7120
Not Available

Map and Direction




Provider's Profile

Full NameLacey Jackson Landon
GenderFemale
SpecialityAnesthesiology Assistant
Experience11 Years
Location901 18th St E, Tifton, Georgia
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 Jackson Landon attended and graduated from Emory University School Of Medicine in 2014
  NPI Data:
  • NPI Number: 1174922314
  • Provider Enumeration Date: 08/13/2014
  • Last Update Date: 08/13/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 3072734656
  • Enrollment ID: I20141023001889

Medical Identifiers

Medical identifiers for Lacey Jackson Landon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174922314NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367H00000XAnesthesiologist Assistant (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Phoebe Putney Memorial HospitalAlbany, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Phoebe Physician Group Inc8426112350375

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 Jackson Landon allows following entities to bill medicare on her behalf.
Entity NameTift Regional Health System, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790280857
PECOS PAC ID: 5193619971
Enrollment ID: O20040212000064
Entity NamePhoebe Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487899464
PECOS PAC ID: 8426112350
Enrollment ID: O20090121000583

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 Jackson Landon 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 Jackson Landon, AA
907 18th St E, Suite 150,
Tifton, GA 31794-3643

Ph: (229) 382-7120		Lacey Jackson Landon, AA
901 18th St E,
Tifton, GA 31794-3648

Ph: (229) 382-7120

Reviews and Comments


Anesthesiologist Assistant Nurses in Tifton, GA

Clinton Jeffery Brown, AA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 901 18th St E, Tifton, GA 31794
Phone: 229-353-6208    Fax: 229-353-7722
Mr. Manuel Chavez Jr., CAA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 901 18th St E, Tifton, GA 31794
Phone: 229-353-7050    
Mr. Ian Michael Hester, CAA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 901 18th St E, Tifton, GA 31794
Phone: 229-382-7120    
Logan Balkcom,
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 901 18th St E, Tifton, GA 31794
Phone: 229-382-7120    

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.