Lacy Nicole Gonzalez, PA-C is a medicare enrolled "Physician Assistant" physician in Houston, Texas. She graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Clear Dermatology Pllc and her current practice location is
17756 Katy Fwy Ste G1, Houston, Texas. You can reach out to her office (for appointments etc.) via phone at
(832) 772-3330.
Lacy Nicole Gonzalez is licensed to practice in Texas (license number ) 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 1841628443.
Physician's Profile
| Full Name | Lacy Nicole Gonzalez |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
|---|
| Experience | 12 Years |
|---|
| Location | 17756 Katy Fwy Ste G1, Houston, Texas |
|---|
| 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:
- Lacy Nicole Gonzalez graduated from medical school in 2012
NPI Data:
- NPI Number: 1841628443
- Provider Enumeration Date: 10/17/2013
- Last Update Date: 01/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 2466688288
- Enrollment ID: I20180108000487
Medical Identifiers
Medical identifiers for Lacy Nicole Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841628443 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | PA09848 (Texas) | Secondary |
| 363A00000X | Physician Assistant | (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Clear Dermatology Pllc | 0345403663 | 4 |
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. Lacy Nicole Gonzalez 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 |
|---|
Lacy Nicole Gonzalez, PA-C
17756 Katy Fwy Ste G1,
Houston, TX 77094-1380
Ph: (832) 772-3330 | Lacy Nicole Gonzalez, PA-C
17756 Katy Fwy Ste G1,
Houston, TX 77094-1380
Ph: (832) 772-3330 |
Reviews and Comments