Lacey Nicole Pulley, PA-C is a medicare enrolled "Physician Assistant - Medical" physician in Lebanon, Indiana. She graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Witham Memorial Hospital and her current practice location is
2705 N Lebanon St Ste 265, Lebanon, Indiana. You can reach out to her office (for appointments etc.) via phone at
(765) 485-8830.
Lacey Nicole Pulley is licensed to practice in Indiana (license number 10002070A) 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 1780126920.
Physician's Profile
| Full Name | Lacey Nicole Pulley |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 8 Years |
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| Location | 2705 N Lebanon St Ste 265, Lebanon, Indiana |
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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:
- Lacey Nicole Pulley graduated from medical school in 2016
NPI Data:
- NPI Number: 1780126920
- Provider Enumeration Date: 11/04/2016
- Last Update Date: 10/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 7618229303
- Enrollment ID: I20181008001867
Medical Identifiers
Medical identifiers for Lacey Nicole Pulley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780126920 | NPI | - | NPPES |
| 300018306 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208M00000X | Hospitalist | 10002070A (Indiana) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 10002070A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Witham Memorial Hospital | 4082523170 | 93 |
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 Nicole Pulley 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 |
|---|
Lacey Nicole Pulley, PA-C
2605 N Lebanon St,
Lebanon, IN 46052-1476
Ph: () - | Lacey Nicole Pulley, PA-C
2705 N Lebanon St Ste 265,
Lebanon, IN 46052-8621
Ph: (765) 485-8830 |
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