| Mr Rhett Chandler Lacey, PA-C | |
|
701 W Forevergreen Rd, North Liberty, IA 52317-9848 | |
| (319) 356-2233 | |
| (319) 356-0533 |
| Full Name | Mr Rhett Chandler Lacey |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 701 W Forevergreen Rd, North Liberty, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760978506 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 092325 (Iowa) | Primary |
| Entity Name | State University of Iowa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477554814 PECOS PAC ID: 7618884230 Enrollment ID: O20031107000060 |
| Entity Name | Iowa Orthopaedic Center PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669579785 PECOS PAC ID: 5597679159 Enrollment ID: O20031118000215 |
| Entity Name | Des Moines River Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720472442 PECOS PAC ID: 0143549634 Enrollment ID: O20150505001794 |
| Entity Name | Genesis Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528616901 PECOS PAC ID: 6103829338 Enrollment ID: O20191031002622 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Rhett Chandler Lacey, PA-C 200 Hawkins Dr, Iowa City, IA 52242-1009 Ph: (319) 356-2233 | Mr Rhett Chandler Lacey, PA-C 701 W Forevergreen Rd, North Liberty, IA 52317-9848 Ph: (319) 356-2233 |
Daniel D Coons, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2301 Steindler Way Ste B, North Liberty, IA 52317 Phone: 319-338-3606 Fax: 319-338-0522 |
Damon M Jordan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 701 W Forevergreen Rd, North Liberty, IA 52317 Phone: 319-356-2223 Fax: 319-353-6745 |
Katheryn Kolker, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1765 Lininger Ln, North Liberty, IA 52317 Phone: 319-665-3053 |
Robert Cherry, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 320 W Cherry St, North Liberty, IA 52317 Phone: 319-626-3200 |
Terry L Hayes, Physician Assistant Medicare: Medicare Enrolled Practice Location: 701 W Forevergreen Rd, North Liberty, IA 52317 Phone: 319-356-2223 Fax: 319-353-6745 |
Madison Thurm, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2301 Steindler Way Ste B, North Liberty, IA 52317 Phone: 319-338-3606 |
Scott A Frisbie, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2301 Steindler Way Ste B, North Liberty, IA 52317 Phone: 319-338-3606 Fax: 319-338-0522 |