Lacey Katelyn Lackey, DPT in Winder, GA - Medicare Physical Therapy Provider

Lacey Katelyn Lackey, DPT is a medicare enrolled "Physical Therapist" provider in Winder, Georgia. She graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Atlanta Rehabilitation And Performance Center and her current practice location is 429 Loganville Hwy Ste 110, Winder, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 318-8030.

Lacey Katelyn Lackey is licensed to practice in Georgia (license number PT011462) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1780090506.

Contact Information

	Lacey Katelyn Lackey, DPT
	429 Loganville Hwy Ste 110, Winder, GA 30680-5630
	(770) 318-8030
	(770) 318-8031

Map and Direction

Healthcare Provider's Profile

Full Name	Lacey Katelyn Lackey
Gender	Female
Speciality	Physical Therapy
Experience	10 Years
Location	429 Loganville Hwy Ste 110, Winder, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Lacey Katelyn Lackey graduated from medical school in 2014

NPI Data:

NPI Number: 1780090506
Provider Enumeration Date: 07/02/2014
Last Update Date: 11/15/2019

Medicare PECOS Information:

PECOS PAC ID: 0446471478
Enrollment ID: I20141016001066

Medical Identifiers

Medical identifiers for Lacey Katelyn Lackey such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780090506	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT011462 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Atlanta Rehabilitation And Performance Center	5890692917	63

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. Lacey Katelyn Lackey allows following entities to bill medicare on her behalf.

Provider Name	Atlanta Rehabilitation And Performance Center
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1982797494 PECOS PAC ID: 5890692917 Enrollment ID: O20060421000284

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. Lacey Katelyn 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
Lacey Katelyn Lackey, DPT 2400 Wisteria Dr, Suite A, Snellville, GA 30078-2689 Ph: (770) 982-0102	Lacey Katelyn Lackey, DPT 429 Loganville Hwy Ste 110, Winder, GA 30680-5630 Ph: (770) 318-8030

Reviews and Comments

Physical Therapist in Winder, GA

Rodney Carter, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 429 Loganville Hwy Ste 110, Winder, GA 30680 Phone: 678-218-9203 Fax: 470-828-7003
Caroline Smith Petmecky, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 204 Resource Ln, Winder, GA 30680 Phone: 678-963-0694
Benchmark Pt - Barrow Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 299 N Broad St, Winder, GA 30680 Phone: 770-867-9994
Brittany Creasy, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 204 Resource Ln, Winder, GA 30680 Phone: 678-963-0694
Mr. Joseph Avolio, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 367 Resource Pkwy, Building 8 Unit B, Winder, GA 30680 Phone: 770-307-2199 Fax: 770-307-2199

Lacey Katelyn Lackey, DPT - Medicare Physical Therapist in Winder, GA