Richard Benjamin Lacki, MD | |
154 Prospect Ave, Plattsburgh, NY 12901-1302 | |
(518) 563-5440 | |
(518) 563-1206 |
Full Name | Richard Benjamin Lacki |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 154 Prospect Ave, Plattsburgh, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942275680 | NPI | - | NPPES |
00559435 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 1273201 (New York) | Primary |
Entity Name | Cgsr Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215930292 PECOS PAC ID: 7012900202 Enrollment ID: O20050405000826 |
Mailing Address | Practice Location Address |
---|---|
Richard Benjamin Lacki, MD 154 Prospect Ave, Plattsburgh, NY 12901-1302 Ph: (518) 563-5440 | Richard Benjamin Lacki, MD 154 Prospect Ave, Plattsburgh, NY 12901-1302 Ph: (518) 563-5440 |
Dr. Nader Wassef, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 14 Healey Ave, Plattsburgh, NY 12901 Phone: 518-561-1603 Fax: 518-561-0179 | |
Lindsey Brooke Wilhelm, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 159 Margaret St, Suite 100, Plattsburgh, NY 12901 Phone: 518-314-3939 | |
Kevin Mccullum, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 96 Court St, Plattsburgh, NY 12901 Phone: 518-562-1080 Fax: 518-562-3316 | |
Dr. Richard J. D'amico, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 74 Margaret St, Plattsburgh, NY 12901 Phone: 518-324-3074 Fax: 518-324-3077 | |
Maegan Boulerice Cabrera, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 159 Margaret St, Suite 100, Plattsburgh, NY 12901 Phone: 518-562-7900 | |
Rachelle A Grad, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 87 Plaza Blvd, Plattsburgh, NY 12901 Phone: 518-536-7060 Fax: 518-536-7075 | |
Dr. Tracy S Orkin, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 16 Degrandpre Way, Suite 300, Plattsburgh, NY 12901 Phone: 518-561-8256 |