Lacey Jean Wildeboer, PA - Medicare in Kenly, NC

  1. Home
  2. Physician Assistant
  3. NC
  4. Kenly
Lacey Jean Wildeboer, PA is a medicare enrolled "Physician Assistant" in Kenly, North Carolina. Her current practice location is 400 N Englewood Dr, Kenly, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 284-4149.

Lacey Jean Wildeboer is licensed to practice in North Carolina (license number 0010-07379) 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 1477077089.

Contact Information

Lacey Jean Wildeboer, PA
400 N Englewood Dr,
Kenly, NC 27542-9290
(919) 284-4149
(919) 284-6008

Map and Direction




Provider's Profile

Full NameLacey Jean Wildeboer
GenderFemale
Speciality
Experience Years
Location400 N Englewood Dr, Kenly, North Carolina
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 Jean Wildeboer attended and graduated from in
  NPI Data:
  • NPI Number: 1477077089
  • Provider Enumeration Date: 07/26/2017
  • Last Update Date: 10/03/2025
  Medicare PECOS Information:
  • PECOS PAC ID:
  • Enrollment ID:

Medical Identifiers

Medical identifiers for Lacey Jean Wildeboer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477077089NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 0010-07379 (North Carolina)Primary

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 Jean Wildeboer 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 Jean Wildeboer, PA
5221 Paramount Pkwy Ste 220,
Morrisville, NC 27560-5490

Ph: (984) 215-4111		Lacey Jean Wildeboer, PA
400 N Englewood Dr,
Kenly, NC 27542-9290

Ph: (919) 284-4149

Reviews and Comments


Physician Assistant Nurses in Kenly, NC

Rebecca M Lancaster, P.A.
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 101 E 2nd Street, Kenly, NC 27542
Phone: 919-284-4025    Fax: 919-284-5965

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.