Kimberly Kay Lacy, DO is a medicare enrolled "Family Medicine" physician in Rural Retreat, Virginia. Her current practice location is
445 Gienow Rd, Rural Retreat, Virginia. You can reach out to her office (for appointments etc.) via phone at
(276) 686-4007.
Kimberly Kay Lacy is licensed to practice in Virginia (license number 0102202349) 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 1043403751.
Physician's Profile
| Full Name | Kimberly Kay Lacy |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 445 Gienow Rd, Rural Retreat, Virginia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kimberly Kay Lacy attended and graduated from in
NPI Data:
- NPI Number: 1043403751
- Provider Enumeration Date: 08/26/2007
- Last Update Date: 10/15/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Kimberly Kay Lacy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043403751 | NPI | - | NPPES |
| 1043403751 | Medicaid | VA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 0102202349 (Virginia) | Primary |
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. Kimberly Kay 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 Address | Practice Location Address |
|---|
Kimberly Kay Lacy, DO
306 S Main St,
Rural Retreat, VA 24368-3269
Ph: (276) 686-4007 | Kimberly Kay Lacy, DO
445 Gienow Rd,
Rural Retreat, VA 24368-3210
Ph: (276) 686-4007 |
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