Ms Michelle B Lackamp, PA-C is a medicare enrolled "Physician Assistant" physician in Merriam, Kansas. She went to University Of Missouri, Kansas City, School Of Medicine and graduated in 2019 and has 5 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Shawnee Mission Medical Center Inc and her current practice location is
7450 Kessler St Ste 300, Merriam, Kansas. You can reach out to her office (for appointments etc.) via phone at
(913) 632-2900.
Ms Michelle B Lackamp is licensed to practice in Kansas (license number 15-02229) 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 1881155190.
Physician's Profile
| Full Name | Ms Michelle B Lackamp |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 5 Years |
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| Location | 7450 Kessler St Ste 300, Merriam, Kansas |
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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:
- Ms Michelle B Lackamp attended and graduated from University Of Missouri, Kansas City, School Of Medicine in 2019
NPI Data:
- NPI Number: 1881155190
- Provider Enumeration Date: 03/28/2019
- Last Update Date: 06/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 7416284229
- Enrollment ID: I20190815002704
Medical Identifiers
Medical identifiers for Ms Michelle B Lackamp such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881155190 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 15-02229 (Kansas) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 15-02229 (Kansas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Shawnee Mission Medical Center Inc | 9537119037 | 171 |
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. Ms Michelle B Lackamp 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 |
|---|
Ms Michelle B Lackamp, PA-C
7450 Kessler St Ste 300,
Merriam, KS 66204-2550
Ph: (913) 632-2900 | Ms Michelle B Lackamp, PA-C
7450 Kessler St Ste 300,
Merriam, KS 66204-2550
Ph: (913) 632-2900 |
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