Lacey Haggan-galloway, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Kuna, Idaho. Her current practice location is
470 W Mendi Pl, Kuna, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 613-0140.
Lacey Haggan-galloway is licensed to practice in Idaho (license number LMFT-7191) 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 1508486481.
Healthcare Provider's Profile
Full Name | Lacey Haggan-galloway |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 470 W Mendi Pl, Kuna, Idaho |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1508486481
- Provider Enumeration Date: 04/21/2020
- Last Update Date: 01/30/2025
Medicare PECOS Information:
- PECOS PAC ID: 3375994122
- Enrollment ID: I20240105003522
Medical Identifiers
Medical identifiers for Lacey Haggan-galloway such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508486481 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | LMFT-7191 (Idaho) | 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. Lacey Haggan-galloway allows following entities to bill medicare on her behalf.
Entity Name | St Lukes Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1790718229 PECOS PAC ID: 1052217478 Enrollment ID: O20031208000899 |
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Entity Name | St Lukes Clinic-treasure Valley Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
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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. Lacey Haggan-galloway 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 |
Lacey Haggan-galloway, LMFT 1776 N Madderlake Ave Apt 1, Kuna, ID 83634-1668 Ph: (208) 613-0140 | Lacey Haggan-galloway, LMFT 470 W Mendi Pl, Kuna, ID 83634-1997 Ph: (208) 613-0140 |
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