Jessica Lee Harden Lackey, DDS in Shelby, NC

Jessica Lee Harden Lackey, DDS is a medicare enrolled "Dentist - General Practice" provider in Shelby, North Carolina. Her current practice location is 139 W Ross Grove Road, Shelby, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 482-7986.

Jessica Lee Harden Lackey is licensed to practice in North Carolina (license number 9304) 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 1023379559.

Contact Information

	Jessica Lee Harden Lackey, DDS
	139 W Ross Grove Road, Shelby, NC 28150-3406
	(704) 482-7986
	(704) 480-9301

Map and Direction

Healthcare Provider's Profile

Full Name	Jessica Lee Harden Lackey
Gender	Female
Speciality	Dentist - General Practice
Location	139 W Ross Grove Road, Shelby, 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: 1023379559
Provider Enumeration Date: 05/31/2012
Last Update Date: 09/11/2014

Medicare PECOS Information:

PECOS PAC ID: 1254648587
Enrollment ID: I20150917002499

Medical Identifiers

Medical identifiers for Jessica Lee Harden Lackey such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023379559	NPI	-	NPPES
5920113	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	9304 (North Carolina)	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. Jessica Lee Harden Lackey allows following entities to bill medicare on her behalf.

Entity Name	Brenton L Young Dds And Pauline E Cahill Dds Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164452132 PECOS PAC ID: 4789709486 Enrollment ID: O20100918000020

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. Jessica Lee Harden 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
Jessica Lee Harden Lackey, DDS Po Box 656, Shelby, NC 28151-0656 Ph: (704) 482-7986	Jessica Lee Harden Lackey, DDS 139 W Ross Grove Road, Shelby, NC 28150-3406 Ph: (704) 482-7986

Reviews and Comments

Dentist in Shelby, NC

Dr. William Rogers Plaster, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 1455 E Marion St, Suite F, Shelby, NC 28150 Phone: 704-487-7391 Fax: 704-487-7391
Dr. Lindsey White, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 101 Life Enrichment Blvd, Shelby, NC 28150 Phone: 704-482-5119
Dr. Philip Elliott Turner, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 803 N Washington St, Shelby, NC 28150 Phone: 704-482-3319 Fax: 704-482-3319
Dr. David R Hendrick, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 613 Mcbrayer Homestead Rd, Shelby, NC 28152 Phone: 704-434-4876 Fax: 704-434-4878
Dr. Sara H Karner, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 101 Life Enrichment Blvd, Shelby, NC 28150 Phone: 704-482-5119 Fax: 704-669-2710
Dr. Gary Stephen Bell, DDS MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 805 W Warren St, Shelby, NC 28150 Phone: 704-484-1633 Fax: 704-484-1633

Jessica Lee Harden Lackey, DDS - Medicare Dentist in Shelby, NC