Stephanie Regan Lacey, DO in Jacksonville, FL

Stephanie Regan Lacey, DO is a medicare enrolled "Pediatrics - Pediatric Cardiology" physician in Jacksonville, Florida. Her current practice location is 841 Prudential Dr, Ufjp Pediatric Cardiology, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 493-1610.

Stephanie Regan Lacey is licensed to practice in Florida (license number OS9818) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1992741342.

Contact Information

	Stephanie Regan Lacey, DO
	841 Prudential Dr, Ufjp Pediatric Cardiology, Jacksonville, FL 32207-8329
	(904) 493-1610
	(904) 493-2363

Map and Direction

Physician's Profile

Full Name	Stephanie Regan Lacey
Gender	Female
Speciality	Pediatrics - Pediatric Cardiology
Location	841 Prudential Dr, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992741342
Provider Enumeration Date: 06/22/2006
Last Update Date: 04/23/2010

Medicare PECOS Information:

PECOS PAC ID: 1951305408
Enrollment ID: I20060914000348

Medical Identifiers

Medical identifiers for Stephanie Regan Lacey such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992741342	NPI	-	NPPES
2759861-00	Medicaid	FL
109704014A	Medicaid	GA
275986100	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	OS9818 (Florida)	Secondary
2080P0202X	Pediatrics - Pediatric Cardiology	OS9818 (Florida)	Primary

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. Stephanie Regan Lacey allows following entities to bill medicare on her behalf.

Entity Name	University Of Florida Jacksonville Physicians, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144276452 PECOS PAC ID: 9133025869 Enrollment ID: O20040128000786

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. Stephanie Regan Lacey 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
Stephanie Regan Lacey, DO Po Box 44008, Ufjp Provider Enrollment, Jacksonville, FL 32231-4008 Ph: () -	Stephanie Regan Lacey, DO 841 Prudential Dr, Ufjp Pediatric Cardiology, Jacksonville, FL 32207-8329 Ph: (904) 493-1610

Reviews and Comments

Pediatrics Doctors in Jacksonville, FL

Dr. Maryam Ooja Abubakar, MD, MPH Pediatrics Medicare: Medicare Enrolled Practice Location: 655 W 8th St, Jacksonville, FL 32209 Phone: 904-244-3508
Dr. Mohamad Alasad Tolaymat, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 820 Prudential Dr, Ufjp Pediatric Multi-specialty Clinic, Jacksonville, FL 32207 Phone: 904-633-0920 Fax: 904-633-0921
Christopher Emanuel, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3945 San Jose Park Dr, Jacksonville, FL 32217 Phone: 904-731-3530 Fax: 904-737-1548
Bridget Sharrar, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12276 San Jose Blvd Ste 507, Jacksonville, FL 32223 Phone: 904-288-8910 Fax: 904-288-8912
Kelly Marie Summers, ARNP Pediatrics Medicare: Medicare Enrolled Practice Location: 807 Childrens Way, Jacksonville, FL 32207 Phone: 904-697-3600
Yekaterina Jones, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 841 Prudential Dr Ste 1130, Jacksonville, FL 32207 Phone: 904-633-4199 Fax: 904-633-4188
Dr. Ronald P Carzoli Jr., MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1800 Barrs St, St Vincent's Medical Center, Jacksonville, FL 32204 Phone: 904-308-7994

Stephanie Regan Lacey, DO - Medicare Pediatrics in Jacksonville, FL