Lacy Chavis, PSYD - Medicare Psychologist in St Petersburg, FL

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Lacy Chavis, PSYD is a medicare enrolled "Psychologist" provider in St Petersburg, Florida. She graduated from medical school in 2010 and has 16 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Tampa General Medical Group Inc and her current practice location is 880 6th St S Ste 420, St Petersburg, Florida. You can reach out to her office (for appointments etc.) via phone at (727) 767-8477.

Lacy Chavis is licensed to practice in New York (license number ) 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 1093020786.

Contact Information

Lacy Chavis, PSYD
880 6th St S Ste 420,
St Petersburg, FL 33701-4825
(727) 767-8477
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameLacy Chavis
GenderFemale
SpecialityClinical Psychologist
Experience16 Years
Location880 6th St S Ste 420, St Petersburg, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lacy Chavis graduated from medical school in 2010
  NPI Data:
  • NPI Number: 1093020786
  • Provider Enumeration Date: 08/18/2010
  • Last Update Date: 11/16/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 3779932850
  • Enrollment ID: I20231214001955

Medical Identifiers

Medical identifiers for Lacy Chavis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093020786NPI-NPPES
1285628552OtherNYAGENCY NPI #
00355940OtherNYAGENCY MEDICAID PROVIDER ID
WVE061OtherNYAGENCY MEDICARE ID#

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist (New York)Primary
103T00000XPsychologist PY8429 (Florida)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Tampa General Medical Group Inc7416253828353

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. Lacy Chavis allows following entities to bill medicare on her behalf.
Entity NameFlorida Health Sciences Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235196510
PECOS PAC ID: 1759277841
Enrollment ID: O20040225000764
Entity NameTampa General Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043557853
PECOS PAC ID: 7416253828
Enrollment ID: O20160310002525

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. Lacy Chavis 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 AddressPractice Location Address
Lacy Chavis, PSYD
880 6th St S Ste 420,
St Petersburg, FL 33701-4825

Ph: (727) 767-8477		Lacy Chavis, PSYD
880 6th St S Ste 420,
St Petersburg, FL 33701-4825

Ph: (727) 767-8477

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.