Dr Amanda Elizabeth Lackey, MD | |
510 S Kingshighway Blvd, Dept Radiology, Saint Louis, MO 63110-1016 | |
(314) 362-7200 | |
(314) 747-4189 |
Full Name | Dr Amanda Elizabeth Lackey |
---|---|
Gender | Female |
Speciality | Diagnostic Radiology |
Experience | 14 Years |
Location | 510 S Kingshighway Blvd, Saint Louis, Missouri |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194041855 | NPI | - | NPPES |
200033233 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 2016018709 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Blessing Hospital | Quincy, IL | Hospital |
Illini Community Hospital | Pittsfield, IL | Hospital |
Missouri Baptist Medical Center | Town and country, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Breast Imaging Of The Ozarks Llc | 0244600146 | 2 |
Specialists In Medical Imaging Sc | 2163733544 | 202 |
Blessing Hospital | 3072422534 | 349 |
Washington University | 9830008770 | 2516 |
Specialists In Medical Imaging Sc | 2163733544 | 202 |
Blessing Hospital | 3072422534 | 349 |
Entity Name | Mercy Clinic Springfield Communities |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245277631 PECOS PAC ID: 7416865845 Enrollment ID: O20031104000060 |
Entity Name | Washington University |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962442475 PECOS PAC ID: 9830008770 Enrollment ID: O20031204000987 |
Entity Name | Specialists In Medical Imaging Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841687951 PECOS PAC ID: 2163733544 Enrollment ID: O20151124000342 |
Entity Name | Blessing Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114471737 PECOS PAC ID: 3072422534 Enrollment ID: O20171221000766 |
Entity Name | Miracl Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205304300 PECOS PAC ID: 4587908041 Enrollment ID: O20181210003487 |
Entity Name | Breast Imaging Of The Ozarks Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417600412 PECOS PAC ID: 0244600146 Enrollment ID: O20230111001024 |
Mailing Address | Practice Location Address |
---|---|
Dr Amanda Elizabeth Lackey, MD Po Box 60352, Saint Louis, MO 63160-0352 Ph: (314) 362-7200 | Dr Amanda Elizabeth Lackey, MD 510 S Kingshighway Blvd, Dept Radiology, Saint Louis, MO 63110-1016 Ph: (314) 362-7200 |
Dr. Hilton I Price, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11133 Dunn Rd, Dept Radiology, Saint Louis, MO 63136 Phone: 314-362-7200 Fax: 314-747-4189 | |
Benjamin Lee, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 510 S Kingshighway Blvd, Saint Louis, MO 63110 Phone: 314-362-7092 | |
Dr. Kyle Anthony O'blanc, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1825 High Oak Rd, Saint Louis, MO 63131 Phone: 504-710-8234 | |
Dr. Michael D. Bazzani, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 10010 Kennerly Rd, Saint Louis, MO 63128 Phone: 314-525-1165 Fax: 314-525-1485 | |
Chelsea Schmitt, Radiology Medicare: Medicare Enrolled Practice Location: 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110 Phone: 314-362-2819 | |
Dr. James Edward Kelly, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 510 S Kingshighway Blvd, Dept Radiology, Saint Louis, MO 63110 Phone: 314-362-7200 Fax: 314-747-4189 | |
Cindy Xin Zhang, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 615 S New Ballas Rd, Dept Of Radiology, Saint Louis, MO 63141 Phone: 314-251-6031 Fax: 314-251-6343 |