Mr Kevin James Lacey, PT, DPT in Mattawan, MI - Medicare Physical Therapy Provider

Mr Kevin James Lacey, PT, DPT is a medicare enrolled "Physical Therapist" provider in Mattawan, Michigan. He graduated from medical school in 1993 and has 31 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Physiotherapy Associates Inc and his current practice location is 23211 Red Arrow Hwy, Mattawan, Michigan. You can reach out to his office (for appointments etc.) via phone at (269) 668-5930.

Mr Kevin James Lacey is licensed to practice in Michigan (license number 5501010346) 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 1447346036.

Contact Information

	Mr Kevin James Lacey, PT, DPT
	23211 Red Arrow Hwy, Mattawan, MI 49071-9701
	(269) 668-5930
	(269) 668-5921

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Kevin James Lacey
Gender	Male
Speciality	Physical Therapy
Experience	31 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.

Medical Education and Training:

Mr Kevin James Lacey graduated from medical school in 1993

NPI Data:

NPI Number: 1447346036
Provider Enumeration Date: 10/04/2006
Last Update Date: 07/04/2022

Medicare PECOS Information:

PECOS PAC ID: 4284670993
Enrollment ID: I20050706000300

Medical Identifiers

Medical identifiers for Mr Kevin James Lacey such as npi, medicare ID, medicare PIN, medicaid, etc.

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

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	070008138 (Illinois)	Secondary
225100000X	Physical Therapist	5501010346 (Michigan)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Physiotherapy Associates Inc	3577470442	429

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. Mr Kevin James Lacey allows following entities to bill medicare on his behalf.

Provider Name	Lacey Physical Therapy Center Incorporated
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1164649497 PECOS PAC ID: 4486690195 Enrollment ID: O20141230000463

Provider Name	Physiotherapy Associates Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1679645295 PECOS PAC ID: 3577470442 Enrollment ID: O20170802002305

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. Mr Kevin James Lacey 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
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

Reviews and Comments

Physical Therapist in Mattawan, MI

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
Johnathan Admiraal, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 23211 Red Arrow Hwy, Mattawan, MI 49071 Phone: 269-668-5930
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
Shelby Waggoner, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 24466 Red Arrow Hwy, Suite D, Mattawan, MI 49071 Phone: 269-462-6431

Mr Kevin James Lacey, PT, DPT - Medicare Physical Therapist in Mattawan, MI