Lacy C Birdseye, APRN - Medicare Nurse Practitioner in Fairfield, CT

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Lacy C Birdseye, APRN is a medicare enrolled "Nurse Practitioner - Family" in Fairfield, Connecticut. Her current practice location is 187 Forest Ave, Fairfield, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 255-0695.

Lacy C Birdseye is licensed to practice in Connecticut (license number 004853) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1972872463.

Contact Information

Lacy C Birdseye, APRN
187 Forest Ave,
Fairfield, CT 06824-6573
(203) 255-0695
(203) 255-0629

Map and Direction




Provider's Profile

Full NameLacy C Birdseye
GenderFemale
SpecialityNurse Practitioner - Family
Location187 Forest Ave, Fairfield, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1972872463
  • Provider Enumeration Date: 12/29/2011
  • Last Update Date: 12/22/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 4981861408
  • Enrollment ID: I20120210000067

Medical Identifiers

Medical identifiers for Lacy C Birdseye such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972872463NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 004853 (Connecticut)Primary
363LP0808XNurse Practitioner - Psychiatric/mental Health 004853 (Connecticut)Secondary

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. Lacy C Birdseye allows following entities to bill medicare on her behalf.
Entity NameKillingly Eye Care P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255439188
PECOS PAC ID: 5294639001
Enrollment ID: O20031124000219
Entity NameProhealth Physicians Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720194053
PECOS PAC ID: 1355246950
Enrollment ID: O20031205000602
Entity NameConnecticut Mental Health Specialists Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053362814
PECOS PAC ID: 0345130563
Enrollment ID: O20040319000165
Entity NameMc Diagnostic Of Connecticut, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386821932
PECOS PAC ID: 0941382113
Enrollment ID: O20080126000057
Entity NameSt. Vincent's Multispecialty Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043544489
PECOS PAC ID: 6204977218
Enrollment ID: O20100112000538

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. Lacy C Birdseye 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
Lacy C Birdseye, APRN
187 Forest Ave,
Fairfield, CT 06824-6573

Ph: (530) 519-5229		Lacy C Birdseye, APRN
187 Forest Ave,
Fairfield, CT 06824-6573

Ph: (203) 255-0695

Reviews and Comments


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Phone: 203-254-2046    

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.