Charles Warren Lackey, MD - Medicare Emergency Medicine in Leadville, CO

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Charles Warren Lackey, MD is a medicare enrolled "Family Medicine" physician in Leadville, Colorado. He graduated from medical school in 1974 and has 50 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Marillac Clinic, Inc., Summit Community Care Clinic Inc and his current practice location is 822 W 4th St, Leadville, Colorado. You can reach out to his office (for appointments etc.) via phone at (719) 486-1264.

Charles Warren Lackey is licensed to practice in Colorado (license number 19438) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1144226291.

Contact Information

Charles Warren Lackey, MD
822 W 4th St,
Leadville, CO 80461-3861
(719) 486-1264
Not Available

Map and Direction




Physician's Profile

Full NameCharles Warren Lackey
GenderMale
SpecialityEmergency Medicine
Experience50 Years
Location822 W 4th St, Leadville, Colorado
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Charles Warren Lackey graduated from medical school in 1974
  NPI Data:
  • NPI Number: 1144226291
  • Provider Enumeration Date: 06/23/2005
  • Last Update Date: 03/02/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0143246579
  • Enrollment ID: I20051014000818

Medical Identifiers

Medical identifiers for Charles Warren Lackey such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144226291NPI-NPPES
01194380MedicaidCO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 19438 (Colorado)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Marys Medical CenterGrand junction, COHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Marillac Clinic, Inc.105263474810
Summit Community Care Clinic Inc802228407414

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. Charles Warren Lackey allows following entities to bill medicare on his behalf.
Entity NameSummit Community Care Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831219328
PECOS PAC ID: 8022284074
Enrollment ID: O20120517000087

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. Charles Warren 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 AddressPractice Location Address
Charles Warren Lackey, MD
822 W 4th St,
Leadville, CO 80461-3861

Ph: (719) 486-1264		Charles Warren Lackey, MD
822 W 4th St,
Leadville, CO 80461-3861

Ph: (719) 486-1264

Reviews and Comments


Family Medicine Doctors in Leadville, CO

Dr. Dana Lynn Greene, MD
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Practice Location: 525 W 3rd St, Leadville, CO 80461
Phone: 970-692-4448    
Dr. Lisa P. Zwerdlinger, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 735 Us Highway 24, Leadville, CO 80461
Phone: 719-486-0500    Fax: 719-486-3966
Dr. William L Bradshaw Jr., DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 822 W 4th St, Leadville, CO 80461
Phone: 719-486-7164    Fax: 719-486-7159
David Stuart, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 822 W 4th St, Leadville, CO 80461
Phone: 719-486-0230    Fax: 719-486-3966

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.