Justin Trevor Lackey, MD in Winston Salem, NC

Justin Trevor Lackey, MD is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Winston Salem, North Carolina. His current practice location is One Medical Center Blvd, Winston Salem, North Carolina. You can reach out to his office (for appointments etc.) via phone at (336) 716-7246.

Justin Trevor Lackey is licensed to practice in North Carolina (license number 317799) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1497333512.

Contact Information

	Justin Trevor Lackey, MD
	One Medical Center Blvd, Winston Salem, NC 27157-3465
	(336) 716-7246
	(336) 716-8773

Map and Direction

Physician's Profile

Full Name	Justin Trevor Lackey
Gender	Male
Speciality	Internal Medicine - Critical Care Medicine
Location	One Medical Center Blvd, Winston Salem, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497333512
Provider Enumeration Date: 03/30/2021
Last Update Date: 10/03/2024

Medicare PECOS Information:

PECOS PAC ID: 8224430798
Enrollment ID: I20240212001390

Medical Identifiers

Medical identifiers for Justin Trevor Lackey such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497333512	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	0101281117 (Virginia)	Secondary
207RC0200X	Internal Medicine - Critical Care Medicine	317799 (North Carolina)	Primary

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. Justin Trevor Lackey allows following entities to bill medicare on his behalf.

Entity Name	Carilion Rockbridge Community Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174636021 PECOS PAC ID: 4789658261 Enrollment ID: O20040820000838

Entity Name	Carilion Giles Community Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194718304 PECOS PAC ID: 3678670221 Enrollment ID: O20070516000487

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. Justin Trevor 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
Justin Trevor Lackey, MD One Medical Center Blvd, Winston Salem, NC 27157-3465 Ph: (336) 716-7246	Justin Trevor Lackey, MD One Medical Center Blvd, Winston Salem, NC 27157-3465 Ph: (336) 716-7246

Reviews and Comments

Internal Medicine Doctors in Winston Salem, NC

Shannon Mitchell St Clair, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 186 Kimel Park Dr, Winston Salem, NC 27103 Phone: 336-277-2000 Fax: 336-277-2050
Dr. Kamal Hanee Henderson, MD Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 186 Kimel Park Dr, Winston Salem, NC 27103 Phone: 336-277-2000 Fax: 336-277-2050
Dr. Michael Joseph Mccormack Jr., M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255
Randall Stephan Conrad, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-4305
Brooke Williams, DO Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 3333 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-718-8383
Dr. Analicia Marie Alvarado, MD Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255
Dr. David Defeo, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 3001 Lyndhurst Ave, Winston Salem, NC 27103 Phone: 336-765-0383 Fax: 336-768-1737

Justin Trevor Lackey, MD - Medicare Internal Medicine in Winston Salem, NC