Sativa Lackey, FNP-C - Medicare Nurse Practitioner in Austin, TX

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Sativa Lackey, FNP-C is a medicare enrolled "Nurse Practitioner" in Austin, Texas. Her current practice location is 4303 Victory Dr, Austin, Texas. You can reach out to her office (for appointments etc.) via phone at (512) 462-3627.

Sativa Lackey is licensed to practice in Texas (license number AP143975) 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 1639795131.

Contact Information

Sativa Lackey, FNP-C
4303 Victory Dr,
Austin, TX 78704-7507
(512) 462-3627
(512) 462-2898

Map and Direction




Provider's Profile

Full NameSativa Lackey
GenderFemale
SpecialityNurse Practitioner
Location4303 Victory Dr, Austin, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639795131
  • Provider Enumeration Date: 06/19/2020
  • Last Update Date: 09/23/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3971916495
  • Enrollment ID: I20201230001052

Medical Identifiers

Medical identifiers for Sativa Lackey such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639795131NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family AP143975 (Texas)Secondary
363LF0000XNurse Practitioner - Family 692669 (Texas)Secondary
363L00000XNurse Practitioner AP143975 (Texas)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. Sativa Lackey allows following entities to bill medicare on her behalf.
Entity NameTravis County Emergency Physicians Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962440933
PECOS PAC ID: 0840289468
Enrollment ID: O20040510000492
Entity NameCurana Health Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255640678
PECOS PAC ID: 9133304603
Enrollment ID: O20110427000111
Entity NameEl Campo Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427334077
PECOS PAC ID: 6406021765
Enrollment ID: O20140813001385
Entity NameLonghorn Emergency Medical Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649669672
PECOS PAC ID: 4486971041
Enrollment ID: O20150320000152
Entity NameUsacs Observation Medicine Services Of Texas Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134606353
PECOS PAC ID: 9638420631
Enrollment ID: O20181001001066
Entity NameAccess Health Urgent Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730828831
PECOS PAC ID: 9931585494
Enrollment ID: O20221006001139

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. Sativa Lackey 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
Sativa Lackey, FNP-C
113 S Thomas Cv,
Burnet, TX 78611-2086

Ph: (512) 944-6548		Sativa Lackey, FNP-C
4303 Victory Dr,
Austin, TX 78704-7507

Ph: (512) 462-3627

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.