| Mr Kevin James Lacey, PT, DPT | |
|
23211 Red Arrow Hwy, Mattawan, MI 49071-9701 | |
| (269) 668-5930 | |
| (269) 668-5921 |
| Full Name | Mr Kevin James Lacey |
|---|---|
| Gender | Male |
| Speciality | |
| Experience | Years |
| Location | 23211 Red Arrow Hwy, Mattawan, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447346036 | NPI | - | NPPES |
| 650H000020 | Other | MI | BCBS MI |
| 155764 | Other | MI | GREATLAKES HEALTH PLAN |
| 650H000020 | Other | MI | BCN MI |
| 7993476 | Other | MI | AETNA INS |
| 310159700 | Other | MI | ACS/FED GOVT |
| 6430129 | Other | MI | IBA HEALTH PLANS |
| 810584027 | Other | MI | TAX ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070008138 (Illinois) | Secondary |
| 225100000X | Physical Therapist | 5501010346 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kevin James Lacey, PT, DPT 23211 Red Arrow Hwy, Mattawan, MI 49071-9701 Ph: (269) 668-5930 | Mr Kevin James Lacey, PT, DPT 23211 Red Arrow Hwy, Mattawan, MI 49071-9701 Ph: (269) 668-5930 |
Shannon L Logsdon, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 23200 Red Arrow Hwy Ste A, Mattawan, MI 49071 Phone: 269-668-5930 Fax: 269-668-5921 | |
Owen Osborn, Physical Therapist Medicare: Medicare Enrolled Practice Location: 24466 Red Arrow Hwy Ste D, Mattawan, MI 49071 Phone: 269-359-7353 | |
Mrs. Cecilia Liz Vives Vasquez, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 23701 Red Arrow Hwy, Mattawan, MI 49090 Phone: 269-668-7770 Fax: 269-668-7770 | |
Dr. Ian Heinicke, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 23211 Red Arrow Hwy, Mattawan, MI 49071 Phone: 269-668-5930 | |
Jeanne Marie Nystrom, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 23332 Red Arrow Hwy, Mattawan, MI 49071 Phone: 269-283-5349 |