Brett David Lackie, DPT in Roseville, MN - Medicare Physical Therapist In Private Practice Provider

Brett David Lackie, DPT is a medicare enrolled "Physical Therapist" provider in Roseville, Minnesota. He went to University Of Minnesota Medical School and graduated in 2018 and has 8 years of diverse experience with area of expertise as Physical Therapist In Private Practice. He is a member of the group practice Park Nicollet Clinic and his current practice location is 3050 Centre Pointe Dr, Roseville, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 831-8742.

Brett David Lackie is licensed to practice in Minnesota (license number 11403) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1457812307.

Contact Information

	Brett David Lackie, DPT
	3050 Centre Pointe Dr, Roseville, MN 55113
	(952) 831-8742
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Brett David Lackie
Gender	Male
Speciality	Physical Therapist In Private Practice
Experience	8 Years
Location	3050 Centre Pointe Dr, Roseville, Minnesota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Brett David Lackie attended and graduated from University Of Minnesota Medical School in 2018

NPI Data:

NPI Number: 1457812307
Provider Enumeration Date: 03/25/2019
Last Update Date: 01/27/2026

Medicare PECOS Information:

PECOS PAC ID: 9133460496
Enrollment ID: I20190415001241

Medical Identifiers

Medical identifiers for Brett David Lackie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457812307	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	11403 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Park Nicollet Clinic	7911819438	1611

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. Brett David Lackie allows following entities to bill medicare on his behalf.

Provider Name	Park Nicollet Clinic
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046

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. Brett David Lackie 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
Brett David Lackie, DPT 8170 33rd Ave S, Ms 21110q, Bloomington, MN 55425-4516 Ph: () -	Brett David Lackie, DPT 3050 Centre Pointe Dr, Roseville, MN 55113 Ph: (952) 831-8742

Reviews and Comments

Physical Therapist in Roseville, MN

Mr. Peter Gering Skupeko, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1325 Eldridge Ave W, Roseville, MN 55113 Phone: 651-639-1615 Fax: 651-639-1615
Amy Sue Andersen, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1970 Oakcrest Ave, Suite 107, Roseville, MN 55113 Phone: 651-636-6330
Rebecca Mae Gilbertson, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2945 Lincoln Dr, Roseville, MN 55113 Phone: 651-628-3000
Mr. Frederick Carl Hjelm, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1835 County Road C W, Roseville, MN 55113 Phone: 651-638-0080 Fax: 651-638-0082
Grady Glynn, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3050 Centre Pointe Dr, Suite Number 200, Roseville, MN 55113 Phone: 651-631-4242
Nicholas Daniel Biondich, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1769 Lexington Ave N, 286, Roseville, MN 55113 Phone: 952-835-4512
Robert M Storevik, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 2151 Hamline Ave N, #111, Roseville, MN 55113 Phone: 651-636-5560 Fax: 651-636-4406

Brett David Lackie, DPT - Medicare Physical Therapist in Roseville, MN