Mr Antwan Edward Lacy, FNP-C in Saint Petersburg, FL

Mr Antwan Edward Lacy, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Saint Petersburg, Florida. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Ohi West Medical Group Llc and his current practice location is 7000 4th St N Ste A, Saint Petersburg, Florida. You can reach out to his office (for appointments etc.) via phone at (727) 526-3627.

Mr Antwan Edward Lacy is licensed to practice in Florida (license number 9372952) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1477059376.

Contact Information

	Mr Antwan Edward Lacy, FNP-C
	7000 4th St N Ste A, Saint Petersburg, FL 33702-5903
	(727) 526-3627
	(727) 525-3492

Map and Direction

Provider's Profile

Full Name	Mr Antwan Edward Lacy
Gender	Male
Speciality	Nurse Practitioner
Experience	7 Years
Location	7000 4th St N Ste A, Saint Petersburg, Florida
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Antwan Edward Lacy graduated from nursing school in 2017

NPI Data:

NPI Number: 1477059376
Provider Enumeration Date: 04/01/2018
Last Update Date: 07/27/2021

Medicare PECOS Information:

PECOS PAC ID: 5294085924
Enrollment ID: I20180830000823

Medical Identifiers

Medical identifiers for Mr Antwan Edward Lacy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477059376	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	9372952 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Bayfront Health - St Petersburg	Saint petersburg, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ohi West Medical Group Llc	2668882507	98

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. Mr Antwan Edward Lacy allows following entities to bill medicare on his behalf.

Entity Name	Bayfront Hma Wellness Center, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962842963 PECOS PAC ID: 3173889102 Enrollment ID: O20171108001240

Entity Name	Ohi West Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518572551 PECOS PAC ID: 2668882507 Enrollment ID: O20201105000368

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. Mr Antwan Edward Lacy 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 Address	Practice Location Address
Mr Antwan Edward Lacy, FNP-C 7000 4th St N Ste A, Saint Petersburg, FL 33702-5903 Ph: (727) 526-3627	Mr Antwan Edward Lacy, FNP-C 7000 4th St N Ste A, Saint Petersburg, FL 33702-5903 Ph: (727) 526-3627

Reviews and Comments

Nurse Practitioner Nurses in Saint Petersburg, FL

Miss Whitnie Saron Padron, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5200 Seminole Blvd, Saint Petersburg, FL 33708 Phone: 727-392-3376 Fax: 727-897-5263
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Mrs. Dedee Ann Ley, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3554 1st Ave N, Saint Petersburg, FL 33713 Phone: 727-321-4846 Fax: 727-321-3811
Leslie Manias, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 777 62nd Ave N, Saint Petersburg, FL 33702 Phone: 352-219-3391
Andrew Moen, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1200 7th Ave N, Saint Petersburg, FL 33705 Phone: 727-825-1100
Deborah R Johnson-eady, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5454 Central Ave Ste A, Saint Petersburg, FL 33707 Phone: 727-347-5242 Fax: 727-347-2402

Mr Antwan Edward Lacy, FNP-C - Medicare Nurse Practitioner in Saint Petersburg, FL