Dr Lacey Jane Clark, in Baton Rouge, LA

Dr Lacey Jane Clark, is a medicare enrolled "Pediatrics" physician in Baton Rouge, Louisiana. Her current practice location is 8300 Constantin Blvd, Baton Rouge, Louisiana. You can reach out to her office (for appointments etc.) via phone at (225) 374-1303.

Dr Lacey Jane Clark is licensed to practice in Louisiana (license number NA) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1366970121.

Contact Information

	Dr Lacey Jane Clark,
	8300 Constantin Blvd, Baton Rouge, LA 70809-3489
	(225) 374-1303
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Lacey Jane Clark
Gender	Female
Speciality	Pediatrics
Location	8300 Constantin Blvd, Baton Rouge, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366970121
Provider Enumeration Date: 05/24/2017
Last Update Date: 11/21/2019

Medicare PECOS Information:

PECOS PAC ID: 4183039837
Enrollment ID: I20210211000049

Medical Identifiers

Medical identifiers for Dr Lacey Jane Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366970121	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	NA (Louisiana)	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. Dr Lacey Jane Clark 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
Dr Lacey Jane Clark, 9718 Heavy Anchor Ln, Humble, TX 77396-3381 Ph: (832) 644-1970	Dr Lacey Jane Clark, 8300 Constantin Blvd, Baton Rouge, LA 70809-3489 Ph: (225) 374-1303

Reviews and Comments

Pediatrics Doctors in Baton Rouge, LA

Manish Gope Raisingani, Pediatrics Medicare: Medicare Enrolled Practice Location: 8200 Constantin Blvd Fl 4, Baton Rouge, LA 70809 Phone: 225-765-5500 Fax: 225-765-1733
Traci T. Lacy, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 7373 Perkins Rd, Baton Rouge, LA 70808 Phone: 225-769-4044
Dr. Michelle L Flechas, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 12525 Perkins Rd, Suite C, Baton Rouge, LA 70810 Phone: 225-769-2003 Fax: 225-767-3055
Dr. Richard Francis Lasseigne Jr., MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8300 Constantin Blvd, Baton Rouge, LA 70809 Phone: 225-374-1410 Fax: 225-374-1616
Dr. Horace Jay Collinsworth, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8415 Goodwood Blvd, Suite 100, Baton Rouge, LA 70806 Phone: 225-765-5633 Fax: 225-765-5634
Myriam Aracelis Ortiz-de Jesus', MD Pediatrics Medicare: Medicare Enrolled Practice Location: 11424 Sullivan Rd, Suite B1, Baton Rouge, LA 70818 Phone: 225-761-5200
Dr. Erin Rantz Hauck, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7777 Hennessy Blvd Suite 103, Pediatric Hospitalist Of La, Baton Rouge, LA 70808 Phone: 225-767-6700 Fax: 225-767-6721

Dr Lacey Jane Clark, - Medicare Pediatrics in Baton Rouge, LA