Ms Lacy C Kinney, PA-C - Medicare Physician Assistant in Dayton, TN

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Ms Lacy C Kinney, PA-C is a medicare enrolled "Physician Assistant" in Dayton, Tennessee. She graduated from nursing school in 2005 and has 21 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Erlanger Health and her current practice location is 149 Walnut Grove Church Rd, Dayton, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 775-5512.

Ms Lacy C Kinney is licensed to practice in Tennessee (license number PA1301) 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 1780611459.

Contact Information

Ms Lacy C Kinney, PA-C
149 Walnut Grove Church Rd,
Dayton, TN 37321-7925
(423) 775-5512
(423) 775-0155

Map and Direction




Provider's Profile

Full NameMs Lacy C Kinney
GenderFemale
SpecialityPhysician Assistant
Experience21 Years
Location149 Walnut Grove Church Rd, Dayton, Tennessee
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:
  • Ms Lacy C Kinney graduated from nursing school in 2005
  NPI Data:
  • NPI Number: 1780611459
  • Provider Enumeration Date: 06/27/2006
  • Last Update Date: 04/10/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 8921015447
  • Enrollment ID: I20060308000495

Medical Identifiers

Medical identifiers for Ms Lacy C Kinney such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780611459NPI-NPPES
4118477OtherTNBCBS OF TENNESSEE
891012560MedicaidAL
P00308205OtherTNRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA1301 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Erlanger Health SystemChattanooga, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Erlanger Health1153780226504

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. Ms Lacy C Kinney allows following entities to bill medicare on her behalf.
Entity NameCrossroads Urgent Care PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366644361
PECOS PAC ID: 8325117484
Enrollment ID: O20080515000672
Entity NameErlanger Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477256303
PECOS PAC ID: 1153780226
Enrollment ID: O20230707000849

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. Ms Lacy C Kinney 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
Ms Lacy C Kinney, PA-C
149 Walnut Grove Church Rd,
Dayton, TN 37321-7925

Ph: (423) 775-5512		Ms Lacy C Kinney, PA-C
149 Walnut Grove Church Rd,
Dayton, TN 37321-7925

Ph: (423) 775-5512

Reviews and Comments


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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.