| Dr Thomas A Lacy, MD | |
|
11715 Orpington Street, Suite A, Tlc Pediatrics And Adolescent Medicine In Assoc With Ne, Orlando, FL 32817-4600 | |
| (407) 380-9115 | |
| (407) 380-9189 |
| Full Name | Dr Thomas A Lacy |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Location | 11715 Orpington Street, Suite A, Orlando, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376561985 | NPI | - | NPPES |
| 11452 | Other | FL | BCBS |
| 257675 | Other | FL | USA MANAGED CARE NETWORK |
| 063917600 | Medicaid | FL | |
| 4006175 | Other | FL | AETNA HEALTHCARE |
| 201529976 | Other | FL | BEECHSTREET |
| 4828516 | Other | FL | CIGNA HEALTHCARE |
| 1103520 | Other | FL | UNITED HEALTHCARE |
| 270015 | Other | FL | AMERIGROUP |
| FAO23 | Other | FL | FHHS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | ME58227 (Florida) | Secondary |
| 208D00000X | General Practice | ME58227 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas A Lacy, MD P.o. Box 191, Provider Enrollment Department, Rockland, DE 19732-0191 Ph: (302) 651-4488 | Dr Thomas A Lacy, MD 11715 Orpington Street, Suite A, Tlc Pediatrics And Adolescent Medicine In Assoc With Ne, Orlando, FL 32817-4600 Ph: (407) 380-9115 |
Baha Aldeen Bani Fawwaz, MBBS General Practice Medicare: Medicare Enrolled Practice Location: 2501 N Orange Ave Ste 235, Orlando, FL 32804 Phone: 407-303-7270 | |
Dr. Nhung Thi Tran, M.D General Practice Medicare: Not Enrolled in Medicare Practice Location: 4000 Central Florida Blvd, Orlando, FL 32816 Phone: 407-823-2098 Fax: 407-823-6932 | |
Dr. Marcos Antonio Rivera Roman, MD General Practice Medicare: Medicare Enrolled Practice Location: 1130 S Semoran Blvd Ste Bandc, Orlando, FL 32807 Phone: 407-382-1376 Fax: 321-235-3232 | |
Dr. Juan Carlos Cantu, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 7359 Lake Underhill Rd, Orlando, FL 32822 Phone: 407-900-9284 Fax: 407-203-8887 | |
Abhishek Mishra, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 7620 Lake Underhill Rd, Orlando, FL 32822 Phone: 321-235-0692 Fax: 321-235-0694 | |
Osmany Lazaro Rodriguez Herrada, MD General Practice Medicare: Medicare Enrolled Practice Location: 811 N Nowell St, Orlando, FL 32808 Phone: 407-259-2383 Fax: 407-363-3884 | |
Dr. Dariusz Grzegorz Mydlarz, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 6336 W Colonial Dr, Orlando, FL 32818 Phone: 407-219-5200 Fax: 321-281-8700 |