Dr Rachel Kelli Lacy, PSYD is a medicare enrolled "Clinical Neuropsychologist" provider in Lawrenceville, Georgia. Her current practice location is
1805 Herrington Rd, Building 3, Ste. 3-b, Lawrenceville, Georgia. You can reach out to her office (for appointments etc.) via phone at
(770) 722-7827.
Dr Rachel Kelli Lacy is licensed to practice in Georgia (license number PSY002801) 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 1760690960.
Healthcare Provider's Profile
| Full Name | Dr Rachel Kelli Lacy |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 1805 Herrington Rd, Lawrenceville, Georgia |
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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 Rachel Kelli Lacy attended and graduated from in
NPI Data:
- NPI Number: 1760690960
- Provider Enumeration Date: 05/19/2007
- Last Update Date: 10/29/2018
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Rachel Kelli Lacy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760690960 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TA0700X | Psychologist - Adult Development & Aging | PSY002801 (Georgia) | Secondary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | PSY002801 (Georgia) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY002801 (Georgia) | Secondary |
| 103TF0200X | Psychologist - Forensic | PSY002801 (Georgia) | Secondary |
| 103TH0004X | Psychologist - Health | PSY002801 (Georgia) | Secondary |
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | PSY002801 (Georgia) | Secondary |
| 103TR0400X | Psychologist - Rehabilitation | PSY002801 (Georgia) | Secondary |
| 103G00000X | Clinical Neuropsychologist | PSY002801 (Georgia) | Primary |
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 Rachel Kelli 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 Rachel Kelli Lacy, PSYD
Po Box 58,
Flowery Branch, GA 30542-0001
Ph: (770) 722-7827 | Dr Rachel Kelli Lacy, PSYD
1805 Herrington Rd, Building 3, Ste. 3-b,
Lawrenceville, GA 30043-7987
Ph: (770) 722-7827 |
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