Kimberly Kay Lacy, DO is a medicare enrolled "Family Medicine" physician in Rural Retreat, Virginia. She went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2006 and has 18 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Blue Ridge Family Medicine, Royal Oak Medical Associates Pc and 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 |
|---|
| Gender | Female |
|---|
| Speciality | Family Practice |
|---|
| Experience | 18 Years |
|---|
| Location | 445 Gienow Rd, Rural Retreat, Virginia |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Kimberly Kay Lacy attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2006
NPI Data:
- NPI Number: 1043403751
- Provider Enumeration Date: 08/26/2007
- Last Update Date: 10/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 2769534643
- Enrollment ID: I20090723000772
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 |
|---|
| 207Q00000X | Family Medicine | 0102202349 (Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Blue Ridge Family Medicine | 5092173203 | 2 |
| Royal Oak Medical Associates Pc | 8729046024 | 10 |
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. Kimberly Kay Lacy allows following entities to bill medicare on her behalf.
| Entity Name | Royal Oak Medical Associates Pc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1720035959
PECOS PAC ID: 8729046024
Enrollment ID: O20050907001191 |
|---|
| Entity Name | Blue Ridge Family Medicine |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1669178430
PECOS PAC ID: 5092173203
Enrollment ID: O20230621000668 |
|---|
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 |
Reviews and Comments