Carissa M Lackey, MD, MPH in Cambridge, NY

Carissa M Lackey, MD, MPH is a medicare enrolled "Family Medicine" physician in Cambridge, New York. Her current practice location is 35 Gilbert Street, Cambridge Medical Center, Cambridge, New York. You can reach out to her office (for appointments etc.) via phone at (518) 677-3961.

Carissa M Lackey is licensed to practice in New York (license number 332725) 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 1629642624.

Contact Information

	Carissa M Lackey, MD, MPH
	35 Gilbert Street, Cambridge Medical Center, Cambridge, NY 12816-2618
	(518) 677-3961
	(518) 677-3180

Map and Direction

Physician's Profile

Full Name	Carissa M Lackey
Gender	Female
Speciality	Family Medicine
Location	35 Gilbert Street, Cambridge, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629642624
Provider Enumeration Date: 05/14/2021
Last Update Date: 09/24/2024

Medicare PECOS Information:

PECOS PAC ID: 8426599010
Enrollment ID: I20240923003723

Medical Identifiers

Medical identifiers for Carissa M Lackey such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629642624	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	332725 (New York)	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. Carissa M Lackey allows following entities to bill medicare on her behalf.

Entity Name	Glens Falls Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336198217 PECOS PAC ID: 8325955974 Enrollment ID: O20031103000498

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. Carissa M 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
Carissa M Lackey, MD, MPH 100 Park Street, Glens Falls Hospital - Credentialing, Glens Falls, NY 12801-4413 Ph: (518) 926-5924	Carissa M Lackey, MD, MPH 35 Gilbert Street, Cambridge Medical Center, Cambridge, NY 12816-2618 Ph: (518) 677-3961

Reviews and Comments

Family Medicine Doctors in Cambridge, NY

Brandon Towey, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 35 Gilbert Street, Cambridge Medical Center, Cambridge, NY 12816 Phone: 518-677-3961 Fax: 518-677-3180
Dr. Ella Ruth Derbyshire, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 35 Gilbert St, Cambridge Family Health Center, Cambridge, NY 12816 Phone: 518-677-3961 Fax: 518-677-3180
Jennifer Baker-porazinski, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 35 Gilbert St, Cambridge Family Health Center, Cambridge, NY 12816 Phone: 518-677-3961 Fax: 518-677-3180
Dr. Peter Joseph Peff, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 35 Gilbert St, Cambridge, NY 12816 Phone: 518-677-3961 Fax: 518-677-3180

Carissa M Lackey, MD, MPH - Medicare Family Medicine in Cambridge, NY