Ms Lacy Smith, FNP-BC, PMHNP-BC in Liberal, KS

Ms Lacy Smith, FNP-BC, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Liberal, Kansas. Her current practice location is 1031 N Kansas Ave, Liberal, Kansas. You can reach out to her office (for appointments etc.) via phone at (620) 649-2505.

Ms Lacy Smith is licensed to practice in Kansas (license number 53-78893) 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 1992358378.

Contact Information

	Ms Lacy Smith, FNP-BC, PMHNP-BC
	1031 N Kansas Ave, Liberal, KS 67901-2644
	(620) 649-2505
	(669) 204-0329

Map and Direction

Provider's Profile

Full Name	Ms Lacy Smith
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1031 N Kansas Ave, Liberal, Kansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992358378
Provider Enumeration Date: 07/24/2019
Last Update Date: 02/21/2025

Medicare PECOS Information:

PECOS PAC ID: 5193143121
Enrollment ID: I20200908002311

Medical Identifiers

Medical identifiers for Ms Lacy Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992358378	NPI	-	NPPES
201291660A	Medicaid	KS
201236440A	Medicaid	OK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WM0705X	Registered Nurse - Medical-surgical	13-127040-052 (Kansas)	Secondary
363LF0000X	Nurse Practitioner - Family	216289 (Oklahoma)	Secondary
363LF0000X	Nurse Practitioner - Family	53-78893 (Kansas)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	216289 (Oklahoma)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	53-78893 (Kansas)	Primary

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 Smith allows following entities to bill medicare on her behalf.

Entity Name	Tapestry Psychiatric Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316300239 PECOS PAC ID: 8820388150 Enrollment ID: O20160527001110

Entity Name	Lotus Integrative Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528725363 PECOS PAC ID: 2567848120 Enrollment ID: O20221005000391

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 Smith 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
Ms Lacy Smith, FNP-BC, PMHNP-BC 2524 N Broadway Ste 554, Edmond, OK 73034-4199 Ph: (620) 649-2505	Ms Lacy Smith, FNP-BC, PMHNP-BC 1031 N Kansas Ave, Liberal, KS 67901-2644 Ph: (620) 649-2505

Reviews and Comments

Nurse Practitioner Nurses in Liberal, KS

Reyna Silvia Aguilar-martinez, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 102 E 11th St, Liberal, KS 67901 Phone: 620-624-2565 Fax: 620-624-3016
Victoria Rachel Underwood, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 305 W 15th St Ste 104, Liberal, KS 67901 Phone: 620-624-9637 Fax: 620-624-2218
Luis Felipe Camacho, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 305 W 15th St Ste 102, Liberal, KS 67901 Phone: 620-417-7578 Fax: 680-417-7577
Dr. Tak Yee Leung, DNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 102 E 11th St, Liberal, KS 67901 Phone: 620-624-2565 Fax: 620-624-3016
Reyna Silvia Diaz-aguilar, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1329 Jewell Ave, Liberal, KS 67901 Phone: 620-309-0052
Mrs. Linsey Kay Carter, ARNP/FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 555 W 15th St, Suite A, Liberal, KS 67901 Phone: 620-624-0702 Fax: 620-624-5078
Elizabeth Mercado, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 502 N Kansas Ave, Liberal, KS 67901 Phone: 620-417-0028

Ms Lacy Smith, FNP-BC, PMHNP-BC - Medicare Nurse Practitioner in Liberal, KS