Dr Kristina Diann Lacy, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Soldotna, Alaska. She went to California School Of Podiatric Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Podiatry. She is a member of the group practice Central Peninsula General Hospital Inc and her current practice location is
240 Hospital Pl, Suite 203, Soldotna, Alaska. You can reach out to her office (for appointments etc.) via phone at
(907) 714-5312.
Dr Kristina Diann Lacy is licensed to practice in Alaska (license number 111585) 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 1699119016.
Healthcare Provider's Profile
| Full Name | Dr Kristina Diann Lacy |
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| Gender | Female |
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| Speciality | Podiatry |
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| Experience | 8 Years |
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| Location | 240 Hospital Pl, Soldotna, Alaska |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Kristina Diann Lacy attended and graduated from California School Of Podiatric Medicine in 2016
NPI Data:
- NPI Number: 1699119016
- Provider Enumeration Date: 04/29/2013
- Last Update Date: 07/17/2020
Medicare PECOS Information:
- PECOS PAC ID: 5496041998
- Enrollment ID: I20160909000777
Medical Identifiers
Medical identifiers for Dr Kristina Diann Lacy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1699119016 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 111585 (Alaska) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Central Peninsula General Hospital Inc | 4587552575 | 85 |
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. Dr Kristina Diann Lacy allows following entities to bill medicare on her behalf.
| Provider Name | Central Peninsula General Hospital Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1528062429
PECOS PAC ID: 4587552575
Enrollment ID: O20040310000598 |
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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. Dr Kristina Diann Lacy 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 |
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Dr Kristina Diann Lacy, DPM
2601 E Roosevelt St,
Phoenix, AZ 85008-4973
Ph: (602) 344-5011 | Dr Kristina Diann Lacy, DPM
240 Hospital Pl, Suite 203,
Soldotna, AK 99669-7559
Ph: (907) 714-5312 |
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