Lacey Zack, MD - Medicare Orthopedic Surgery in Los Angeles, CA

Lacey Zack, MD is a medicare enrolled "Orthopaedic Surgery" physician in Los Angeles, California. She went to University Of Southern California Keck School Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Orthopedic Surgery. She is a member of the group practice Lacey Zack Md Inc and her current practice location is 1245 Wilshire Blvd, Ste 607, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (213) 338-1521.

Lacey Zack is licensed to practice in California (license number A116342) 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 1124315916.

Contact Information

Lacey Zack, MD
1245 Wilshire Blvd, Ste 607,
Los Angeles, CA 90017-4806
(213) 338-1521
(213) 266-8183

Map and Direction




Physician's Profile

Full NameLacey Zack
GenderFemale
SpecialityOrthopedic Surgery
Experience15 Years
Location1245 Wilshire Blvd, Los Angeles, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lacey Zack attended and graduated from University Of Southern California Keck School Of Medicine in 2009
  NPI Data:
  • NPI Number: 1124315916
  • Provider Enumeration Date: 06/30/2011
  • Last Update Date: 01/06/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7810201100
  • Enrollment ID: I20150730012323

Medical Identifiers

Medical identifiers for Lacey Zack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124315916NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery A116342 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Good Samaritan HospitalLos angeles, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lacey Zack Md Inc66082871562

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. Lacey Zack allows following entities to bill medicare on her behalf.
Entity NameLacey Zack Md Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205301397
PECOS PAC ID: 6608287156
Enrollment ID: O20201204001539

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 Zack 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 AddressPractice Location Address
Lacey Zack, MD
1245 Wilshire Blvd Ste 607,
Los Angeles, CA 90017-4806

Ph: (213) 338-1521
Lacey Zack, MD
1245 Wilshire Blvd, Ste 607,
Los Angeles, CA 90017-4806

Ph: (213) 338-1521

Reviews and Comments


Orthopaedic Surgery Doctors in Los Angeles, CA

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Dr. Steven Lawrence Zeitzew, M.D.
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Dr. William T Long, M.D.
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Kathleen Rose Savage, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 1700 E Cesar E Chavez Ave, Suite 2200, Los Angeles, CA 90033
Phone: 323-264-7600    Fax: 323-261-8027

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.