Kimberly J Lackey, MED in Ronda, NC - Medicare Counselor Provider

Kimberly J Lackey, MED is a medicare enrolled "Counselor - School" provider in Ronda, North Carolina. Her current practice location is 360 Riverbottom Rd, Ronda, North Carolina. You can reach out to her office (for appointments etc.) via phone at (828) 850-5107.

Kimberly J Lackey is licensed to practice in * (Not Available) (license number ) 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 1619142973.

Contact Information

	Kimberly J Lackey, MED
	360 Riverbottom Rd, Ronda, NC 28670-9300
	(828) 850-5107
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kimberly J Lackey
Gender	Female
Speciality	Counselor - School
Location	360 Riverbottom Rd, Ronda, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619142973
Provider Enumeration Date: 04/28/2008
Last Update Date: 08/03/2022

Medicare PECOS Information:

PECOS PAC ID: 8224563408
Enrollment ID: I20241125002595

Medical Identifiers

Medical identifiers for Kimberly J Lackey such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619142973	NPI	-	NPPES
4877	Other	NC	NCLPC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YS0200X	Counselor - School	(* (Not Available))	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. Kimberly J Lackey allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221208000188

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. Kimberly J Lackey 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
Kimberly J Lackey, MED 360 Riverbottom Rd, Ronda, NC 28670-9300 Ph: (828) 850-5107	Kimberly J Lackey, MED 360 Riverbottom Rd, Ronda, NC 28670-9300 Ph: (828) 850-5107

Reviews and Comments

Counselor in Ronda, NC

Kayla Dawn Chilton, LCMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 14072 Elkin Highway 268, Ronda, NC 28670 Phone: 336-827-0089 Fax: 844-676-0500
Jordan Nicole Shore, LCMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 14072 Elkin Highway 268, Ronda, NC 28670 Phone: 336-827-0089 Fax: 844-676-0500
Dallas Eugene Johnson Jr., LCMHCS Counselor Medicare: Not Enrolled in Medicare Practice Location: 14072 Elkin Highway 268, Ronda, NC 28670 Phone: 336-827-0089 Fax: 844-676-0500
Lora Michelle Salley, LCMHC, LCAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 14072 Elkin Highway 268, Ronda, NC 28670 Phone: 336-827-0089 Fax: 844-676-0500
Samantha Jade Sholar Cole, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14072 Elkin Highway 268, Ronda, NC 28670 Phone: 336-827-0089 Fax: 844-676-0500
Mrs. Bethaney L. Hague Hamby, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 316 Ronda Clingman School Rd, Ronda, NC 28670 Phone: 336-984-2200 Fax: 336-984-3210

Kimberly J Lackey, MED - Medicare Counselor in Ronda, NC