Dr Rachel Kelli Lacy, PSYD is a medicare enrolled "Clinical Neuropsychologist" provider in Lawrenceville, Georgia. She graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Clinical Psychologist. 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 | Clinical Psychologist |
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| Experience | 22 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 graduated from medical school in 2002
NPI Data:
- NPI Number: 1760690960
- Provider Enumeration Date: 05/19/2007
- Last Update Date: 10/29/2018
Medicare PECOS Information:
- PECOS PAC ID: 1254371511
- Enrollment ID: I20050506000006
Medical Identifiers
Medical identifiers for Dr Rachel Kelli Lacy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 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 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 Rachel Kelli Lacy allows following entities to bill medicare on her behalf.
| Entity Name | Rachel Lacy Psyd Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912115114
PECOS PAC ID: 9537109897
Enrollment ID: O20050505000559 |
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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 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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