Brent W Lacey, MD | |
100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | |
(910) 450-3841 | |
(910) 450-3463 |
Full Name | Brent W Lacey |
---|---|
Gender | Male |
Speciality | Gastroenterology |
Experience | 15 Years |
Location | 100 Brewster Blvd, Camp Lejeune, North Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114154283 | NPI | - | NPPES |
017169900 | Medicaid | FL | |
4X7W3 | Other | FL | BCBS |
IO214Z | Other | FL | MCR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | ME124361 (Florida) | Secondary |
207RG0100X | Internal Medicine - Gastroenterology | N8314 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baylor Scott & White Medical Center Grapevine | Grapevine, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Texas Digestive Disease Consultants Pllc | 3375531379 | 538 |
Entity Name | Texas Digestive Disease Consultants Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053397331 PECOS PAC ID: 3375531379 Enrollment ID: O20040505001844 |
Mailing Address | Practice Location Address |
---|---|
Brent W Lacey, MD 4828 N Davis Hwy, Pensacola, FL 32503-2341 Ph: (850) 477-8109 | Brent W Lacey, MD 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 Ph: (910) 450-3841 |
Dr. Thomas M Johnson, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-3905 | |
Matthew Biscotti, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: Naval Medical Center, 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-4357 | |
Chad Sparks, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 100 Brewster Blvd, Naval Hospital, Camp Lejeune, NC 28547 Phone: 910-450-4136 Fax: 910-450-4558 | |
Dr. Thuy Kim Lin, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-4300 | |
Dr. Laura Jean Gilbert, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-451-3079 Fax: 910-450-3796 | |
Mr. Drew D. Geller, DO Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 100 Brewster Blvd, Naval Hospital, Camp Lejeune, NC 28547 Phone: 910-450-4136 Fax: 910-450-4558 |