Lacey Haggan-galloway, LMFT in Twin Falls, ID - Medicare Marriage & Family Therapist Provider

Lacey Haggan-galloway, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Twin Falls, Idaho. Her current practice location is 630 Addison Ave W, Twin Falls, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 736-5048.

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.

Contact Information

	Lacey Haggan-galloway, LMFT
	630 Addison Ave W, Twin Falls, ID 83301-5491
	(208) 736-5048
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Lacey Haggan-galloway
Gender	Female
Speciality	Marriage & Family Therapist
Location	630 Addison Ave W, Twin Falls, Idaho
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: 04/21/2020

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
1558606962	Medicaid	ID

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
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790718229 PECOS PAC ID: 1052217478 Enrollment ID: O20031208000899

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 630 Addison Ave W, Twin Falls, ID 83301-5491 Ph: (208) 736-5048	Lacey Haggan-galloway, LMFT 630 Addison Ave W, Twin Falls, ID 83301-5491 Ph: (208) 736-5048

Reviews and Comments

Marriage & Family Therapist in Twin Falls, ID

Jason K. Beard, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 284 Martin St, Twin Falls, ID 83301 Phone: 208-733-7186 Fax: 208-733-7178
Dr. Michael Robert Whitehead, PH.D., LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 213 3rd Ave E, Twin Falls, ID 83301 Phone: 509-392-1874
Mrs. Kristi Jean Fowler, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 140 River Vista Pl, Twin Falls, ID 83301 Phone: 208-732-0405 Fax: 208-732-0407
Susan Diane Bergen, MA, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 647 Filer Ave, Twin Falls, ID 83301 Phone: 208-737-9999 Fax: 208-736-4400
David Paul Holloway, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1418 Fillmore St, Twin Falls, ID 83301 Phone: 208-735-2237
Larissa Macfarlane, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 451 Eastland Dr Ste 7, Twin Falls, ID 83301 Phone: 208-258-7681

Lacey Haggan-galloway, LMFT - Medicare Couples Therapy in Twin Falls, ID