Dr Thomas Kevin Lackey, | |
3804 Rainbow Dr, Rainbow City, AL 35906 | |
(256) 952-2200 | |
(256) 952-2202 |
Full Name | Dr Thomas Kevin Lackey |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 23 Years |
Location | 3804 Rainbow Dr, Rainbow City, Alabama |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720060247 | NPI | - | NPPES |
051502368 | Other | AL | BLUE CROSS BLUE SHIELD |
009960110 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 21928 (Alabama) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northeast Alabama Regional Medical Center | Anniston, AL | Hospital |
Riverview Regional Medical Center | Gadsden, AL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anesthesia Associates | 3476570870 | 75 |
Entity Name | Anesthesia Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821013905 PECOS PAC ID: 3476570870 Enrollment ID: O20051025000816 |
Entity Name | Alabama Anesthesiology And Pain Consultants P C |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831388255 PECOS PAC ID: 4880613892 Enrollment ID: O20051118000731 |
Entity Name | Coosa Pain And Wellness |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093147951 PECOS PAC ID: 7113153214 Enrollment ID: O20131120000288 |
Entity Name | Epix Anesthesia Of Alabama Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629427059 PECOS PAC ID: 8022300748 Enrollment ID: O20160715001459 |
Entity Name | Hospitalist Medicine Physicians Of Alabama-tcs Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750989877 PECOS PAC ID: 5698188019 Enrollment ID: O20210104001316 |
Mailing Address | Practice Location Address |
---|---|
Dr Thomas Kevin Lackey, 3804 Rainbow Dr, Rainbow City, AL 35906-3051 Ph: (256) 952-2200 | Dr Thomas Kevin Lackey, 3804 Rainbow Dr, Rainbow City, AL 35906 Ph: (256) 952-2200 |