Lacey Mcroy, PT is a
Physical Therapist physician based in Green Bay, Wisconsin. Lacey Mcroy is licensed to practice in Wisconsin (license number 13273) and her current practice location is 1160 Kepler Dr, Green Bay, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 288-8000.
NPI number for Lacey Mcroy is 1811322845 and her current mailing address is 1160 Kepler Dr, Green Bay, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1811322845.
Physician's Profile
| Full Name | Lacey Mcroy |
|---|
| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 1160 Kepler Dr, Green Bay, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1811322845
- Provider Enumeration Date: 09/10/2013
- Last Update Date: 01/12/2016
Medical Identifiers
Medical identifiers for Lacey Mcroy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811322845 | NPI | - | NPPES |
| 070020112 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | 070020112 (Illinois) | Secondary |
| 2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | 070020112 (Illinois) | Secondary |
| 225100000X | Physical Therapist | 13273 (Wisconsin) | 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. Lacey Mcroy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Lacey Mcroy, PT
1160 Kepler Dr,
Green Bay, WI 54311-8321
Ph: (920) 288-8000 | Lacey Mcroy, PT
1160 Kepler Dr,
Green Bay, WI 54311-8321
Ph: (920) 288-8000 |
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