Lacy G Reynolds, APRN - Medicare Nurse Practitioner in Tulsa, OK

Lacy G Reynolds, APRN is a medicare enrolled "Nurse Practitioner" in Tulsa, Oklahoma. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Tni-kso Pc and her current practice location is 1120 S Utica Ave, Tulsa, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 579-1000.

Lacy G Reynolds is licensed to practice in Oklahoma (license number 88134) 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 1598233298.

Contact Information

Lacy G Reynolds, APRN
1120 S Utica Ave,
Tulsa, OK 74104-4012
(918) 579-1000
Not Available

Map and Direction




Provider's Profile

Full NameLacy G Reynolds
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location1120 S Utica Ave, Tulsa, Oklahoma
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:
  • Lacy G Reynolds graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1598233298
  • Provider Enumeration Date: 11/12/2018
  • Last Update Date: 11/12/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 9537407721
  • Enrollment ID: I20190213002559

Medical Identifiers

Medical identifiers for Lacy G Reynolds such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598233298NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 88134 (Oklahoma)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hillcrest Medical CenterTulsa, OKHospital
Hillcrest Hospital SouthTulsa, OKHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Tni-kso Pc206246439916

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 G Reynolds allows following entities to bill medicare on her behalf.
Entity NameAhs Oklahoma Physician Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235182775
PECOS PAC ID: 9436122496
Enrollment ID: O20040817001197
Entity NameTni-kso Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215003314
PECOS PAC ID: 2062464399
Enrollment ID: O20050215000846
Entity NameJames R Webb Jr Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326107624
PECOS PAC ID: 6507968146
Enrollment ID: O20070228000122

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 G Reynolds 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 G Reynolds, APRN
821 W Waco St,
Broken Arrow, OK 74011-2818

Ph: () -
Lacy G Reynolds, APRN
1120 S Utica Ave,
Tulsa, OK 74104-4012

Ph: (918) 579-1000

Reviews and Comments


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Practice Location: 2408 E 81st St Ste 900, Tulsa, OK 74137
Phone: 918-319-5021    Fax: 918-477-5853
Lisa Michele Sample, AG-ACNP
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Medicare: Medicare Enrolled
Practice Location: 6161 S Yale Ave, Tulsa, OK 74136
Phone: 918-494-2200    

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.