Dr Keith Woodward Lackey, MD in Charleston, SC

Dr Keith Woodward Lackey, MD is a medicare enrolled "Internal Medicine" physician in Charleston, South Carolina. He went to Medical University Of South Carolina College Of Medicine and graduated in 1990 and has 34 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Roper Saint Francis Physicians Network and his current practice location is 615 Wesley Drive, Suite 300, Charleston, South Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 266-4400.

Dr Keith Woodward Lackey is licensed to practice in South Carolina (license number 15543) 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 1154389815.

Contact Information

	Dr Keith Woodward Lackey, MD
	615 Wesley Drive, Suite 300, Charleston, SC 29407
	(843) 266-4400
	(843) 577-0455

Map and Direction

Physician's Profile

Full Name	Dr Keith Woodward Lackey
Gender	Male
Speciality	Internal Medicine
Experience	34 Years
Location	615 Wesley Drive, Charleston, South 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.

Medical Education and Training:

Dr Keith Woodward Lackey attended and graduated from Medical University Of South Carolina College Of Medicine in 1990

NPI Data:

NPI Number: 1154389815
Provider Enumeration Date: 05/03/2006
Last Update Date: 01/25/2021

Medicare PECOS Information:

PECOS PAC ID: 7911057401
Enrollment ID: I20090603000516

Medical Identifiers

Medical identifiers for Dr Keith Woodward Lackey such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154389815	NPI	-	NPPES
110105130	Other	SC	RR MEDICARE
155432	Medicaid	SC
P00754364	Other	SC	RAILROAD MC ID-RSFPN
110232037	Other	SC	RR MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	15543 (South Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Roper-st. Francis Home Health	Charleston, SC	Home health agency
Bon Secours-st Francis Xavier Hospital	Charleston, SC	Hospital
Roper Hospital	Charleston, SC	Hospital
Roper St Francis Hospital-berkely Inc	Moncks corner, SC	Hospital
Mount Pleasant Hospital	Mount pleasant, SC	Hospital
Musc Medical Center	Charleston, SC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Roper Saint Francis Physicians Network	5193874824	422

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. Dr Keith Woodward Lackey allows following entities to bill medicare on his behalf.

Entity Name	Roper Saint Francis Physicians Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346752383 PECOS PAC ID: 5193874824 Enrollment ID: O20090528000405

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. Dr Keith Woodward 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
Dr Keith Woodward Lackey, MD Po Box 751649, Charlotte, NC 28275-1649 Ph: (843) 789-1620	Dr Keith Woodward Lackey, MD 615 Wesley Drive, Suite 300, Charleston, SC 29407 Ph: (843) 266-4400

Reviews and Comments

Internal Medicine Doctors in Charleston, SC

Dr. Jeffrey Peter Yourshaw, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 169 Ashley Ave, Room 202 Main Hospital Msc 333, Charleston, SC 29425 Phone: 843-876-4807 Fax: 843-876-4809
Jennifer Lee Martin, D.O. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414
Nikko Rowe Asuncion Tabliago, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 169 Ashley Ave Rm 202, Charleston, SC 29425 Phone: 843-792-2575
Moses K Asempah, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 169 Ashley Avenue, Room 202 Main Hospital Msc333, Charleston, SC 29425 Phone: 717-491-3745
Paige Nicole Laverick, PA-C Internal Medicine Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414
Amit Agrawal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414
Yevgeniy Gelfand, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 67 President St, Charleston, SC 29425 Phone: 843-792-0111

Dr Keith Woodward Lackey, MD - Medicare Internal Medicine in Charleston, SC