Mrs Lacey Ozburn, DPT in Vidalia, LA - Medicare Physical Therapist Provider

Mrs Lacey Ozburn, DPT is a medicare enrolled "Physical Therapist" provider in Vidalia, Louisiana. Her current practice location is 4616 Highway 84 W, Vidalia, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 336-5400.

Mrs Lacey Ozburn is licensed to practice in Louisiana (license number 09814) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1043719040.

Contact Information

	Mrs Lacey Ozburn, DPT
	4616 Highway 84 W, Vidalia, LA 71373-3357
	(318) 336-5400
	(318) 336-8621

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Lacey Ozburn
Gender	Female
Speciality	Physical Therapist
Location	4616 Highway 84 W, Vidalia, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043719040
Provider Enumeration Date: 02/05/2018
Last Update Date: 02/05/2018

Medicare PECOS Information:

PECOS PAC ID: 2668736554
Enrollment ID: I20180430002623

Medical Identifiers

Medical identifiers for Mrs Lacey Ozburn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043719040	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	09814 (Louisiana)	Primary

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. Mrs Lacey Ozburn allows following entities to bill medicare on her behalf.

Provider Name	Therapy Center For Physical Rehabilitation And Wellness Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1366782120 PECOS PAC ID: 3779887518 Enrollment ID: O20160405000327

Provider Name	Healthpro Heritage Rehab & Fitness Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1154852382 PECOS PAC ID: 6507832573 Enrollment ID: O20231004003036

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. Mrs Lacey Ozburn 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
Mrs Lacey Ozburn, DPT 4616 Highway 84 W, Vidalia, LA 71373-3357 Ph: (318) 336-5400	Mrs Lacey Ozburn, DPT 4616 Highway 84 W, Vidalia, LA 71373-3357 Ph: (318) 336-5400

Reviews and Comments

Physical Therapist in Vidalia, LA

Erin Fournet Woodruff, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 402 Holly Street, Vidalia, LA 71373 Phone: 318-336-6500
Miss Jessica Marling Clayton, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4616 Highway 84 W, Vidalia, LA 71373 Phone: 318-336-5400 Fax: 318-336-8621
Michael R Wimberly Ii, PT,MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 107 Front St Ste 230, Vidalia, LA 71373 Phone: 318-336-2224 Fax: 318-336-6068

Mrs Lacey Ozburn, DPT - Medicare Physical Therapist in Vidalia, LA