Monica Shawntae Lackey, OTR/L in Mocksville, NC - Medicare Occupational Therapist Provider

Monica Shawntae Lackey, OTR/L is a medicare enrolled "Occupational Therapist" provider in Mocksville, North Carolina. Her current practice location is 150 Ken Dwiggins Dr, Mocksville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 751-1209.

Monica Shawntae Lackey is licensed to practice in North Carolina (license number 10933) 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 1891254199.

Contact Information

	Monica Shawntae Lackey, OTR/L
	150 Ken Dwiggins Dr, Mocksville, NC 27028-2439
	(336) 751-1209
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Monica Shawntae Lackey
Gender	Female
Speciality	Occupational Therapist
Location	150 Ken Dwiggins Dr, Mocksville, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891254199
Provider Enumeration Date: 03/16/2019
Last Update Date: 07/25/2022

Medicare PECOS Information:

PECOS PAC ID: 4789052176
Enrollment ID: I20221115003333

Medical Identifiers

Medical identifiers for Monica Shawntae Lackey such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891254199	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	(* (Not Available))	Secondary
225X00000X	Occupational Therapist	10933 (North Carolina)	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. Monica Shawntae Lackey allows following entities to bill medicare on her behalf.

Provider Name	Paragon Outpatient Rehabilitation Services, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1871867325 PECOS PAC ID: 8022272848 Enrollment ID: O20220822000895

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. Monica Shawntae 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 Address	Practice Location Address
Monica Shawntae Lackey, OTR/L 1064 Kings Meadow Dr, Winston Salem, NC 27127-4929 Ph: (704) 622-0296	Monica Shawntae Lackey, OTR/L 150 Ken Dwiggins Dr, Mocksville, NC 27028-2439 Ph: (336) 751-1209

Reviews and Comments

Occupational Therapist in Mocksville, NC

Dr. Grant Somers Bare, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 498 Madison Rd, Mocksville, NC 27028 Phone: 336-751-3535
Ms. Brianna Nicole Bumgarner, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 498 Madison Rd, Mocksville, NC 27028 Phone: 336-751-3535
Foundation Health Systems Corp. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 485 Valley Rd, Suite 102, Mocksville, NC 27028 Phone: 336-751-8003
Ms. Leigh Michelle Bryant, OT/R Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 120 Heather Ct, Mocksville, NC 27028 Phone: 336-972-4967
Mrs. Holly Moody, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 498 Madison Rd., Mocksville, NC 28041 Phone: 704-754-2743
We Achieve Pediatric Therapy, Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1187 Cana Rd, Mocksville, NC 27028 Phone: 336-940-2088

Monica Shawntae Lackey, OTR/L - Medicare Occupational Therapist in Mocksville, NC