Dr Shanon Renee Lacy, DO - Medicare Pathology in West Allis, WI

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Dr Shanon Renee Lacy, DO is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in West Allis, Wisconsin. She went to Chicago College Of Medicine And Surgery and graduated in 2007 and has 17 years of diverse experience with area of expertise as Pathology. She is a member of the group practice Great Lakes Pathologists Sc and her current practice location is 8901 W Lincoln Ave, West Allis, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 328-7675.

Dr Shanon Renee Lacy is licensed to practice in Wisconsin (license number 56999-21) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1003076142.

Contact Information

Dr Shanon Renee Lacy, DO
8901 W Lincoln Ave,
West Allis, WI 53227-2409
(414) 328-7675
Not Available

Map and Direction




Physician's Profile

Full NameDr Shanon Renee Lacy
GenderFemale
SpecialityPathology
Experience17 Years
Location8901 W Lincoln Ave, West Allis, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Shanon Renee Lacy attended and graduated from Chicago College Of Medicine And Surgery in 2007
  NPI Data:
  • NPI Number: 1003076142
  • Provider Enumeration Date: 06/12/2008
  • Last Update Date: 12/30/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0749444875
  • Enrollment ID: I20120620000822

Medical Identifiers

Medical identifiers for Dr Shanon Renee Lacy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003076142NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZD0900XPathology - Dermatopathology 56999-21 (Wisconsin)Secondary
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 56999-21 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Waukesha Memorial HospitalWaukesha, WIHospital
Ascension All Saints HospitalRacine, WIHospital
Aurora Lakeland Medical CenterElkhorn, WIHospital
Aurora Baycare Medical CtrGreen bay, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Great Lakes Pathologists Sc731585068258

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 Shanon Renee Lacy allows following entities to bill medicare on her behalf.
Entity NameGreat Lakes Pathologists Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689695934
PECOS PAC ID: 7315850682
Enrollment ID: O20031112000106

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 Shanon Renee Lacy 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
Dr Shanon Renee Lacy, DO
102 N Water St Unit 206,
Milwaukee, WI 53202-6056

Ph: (317) 285-9918		Dr Shanon Renee Lacy, DO
8901 W Lincoln Ave,
West Allis, WI 53227-2409

Ph: (414) 328-7675

Reviews and Comments


Pathology Doctors in West Allis, WI

Susan Pei,
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 8901 W Lincoln Ave, West Allis, WI 53227
Phone: 414-328-7950    
Dr. Wen Zhong, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 8901 W Lincoln Ave, West Allis, WI 53227
Phone: 414-328-7984    
Dr. Amanda Meindl, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 8901 W Lincoln Ave, West Allis, WI 53227
Phone: 414-328-7950    Fax: 414-328-8505
Dr. Saad Baqai, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 8901 W Lincoln Ave, West Allis, WI 53227
Phone: 414-328-7950    Fax: 414-328-8505
Virginia L Wallace, MD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 8901 W Lincoln Avenue, West Allis, WI 53227
Phone: 414-328-7950    Fax: 414-328-8505
Patrick W. Heintz, MD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 8901 West Lincoln Avenue, West Allis, WI 53227
Phone: 414-328-7950    Fax: 414-328-8505

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.