| Jenevieve Lackey, | |
|
3919 South Carolina 14, Greenville, SC 29615 | |
| (864) 252-9941 | |
| Not Available |
| Full Name | Jenevieve Lackey |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 9 Years |
| Location | 3919 South Carolina 14, Greenville, South Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326515727 | NPI | - | NPPES |
| 9337 | Other | SC | STATE LICENSURE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pt Solutions Of Acworth Llc | 0042291817 | 10 |
| Fox Rehabilitation Services Of South Carolina, Llc | 3971639998 | 255 |
| Provider Name | Fox Rehabilitation Services Of South Carolina, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1902133689 PECOS PAC ID: 3971639998 Enrollment ID: O20100330000294 |
| Provider Name | Pt Solutions Of Acworth Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1396379723 PECOS PAC ID: 0042291817 Enrollment ID: O20161216000347 |
| Mailing Address | Practice Location Address |
|---|---|
| Jenevieve Lackey, 400 Mills Ave Unit 227, Greenville, SC 29605-4184 Ph: (509) 420-3810 | Jenevieve Lackey, 3919 South Carolina 14, Greenville, SC 29615 Ph: (864) 252-9941 |
Caitlyn Esther Soltes, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 29 N Academy St, Greenville, SC 29601 Phone: 864-331-1344 Fax: 864-331-1446 | |
Stephen Craig Miller, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2 Doctors Dr, Greenville, SC 29605 Phone: 864-797-7320 | |
Charlotte Bocchino, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Patewood Dr, Ste C150, Greenville, SC 29615 Phone: 864-454-0904 | |
Madalyn Patricia Cregg, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 200 Patewood Dr Ste C150, Greenville, SC 29615 Phone: 864-454-0904 | |
Nia Kenya, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 115 Pelham Rd Ste 12, Greenville, SC 29615 Phone: 864-558-7346 | |
Sara Elizabeth Martin, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 103 N Main St, Ste 99, Greenville, SC 29601 Phone: 864-528-5728 | |
Mrs. Beverly Jane Calhoun, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Nhl Mauldin, 850 E Butler Rd, Greenville, SC 29607 Phone: 864-675-6421 Fax: 864-675-9122 |