Susan Northern Lacy, MD | |
6401 Poplar Ave Ste 530, Memphis, TN 38119-4840 | |
(901) 767-9368 | |
(901) 767-9496 |
Full Name | Susan Northern Lacy |
---|---|
Gender | Female |
Speciality | Obstetrics/gynecology |
Experience | 31 Years |
Location | 6401 Poplar Ave Ste 530, Memphis, Tennessee |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710998729 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207VX0000X | Obstetrics & Gynecology - Obstetrics | 28143 (Tennessee) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Midsouth Independent Group Pllc | 2668886722 | 6 |
Entity Name | Midsouth Independent Group Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861009326 PECOS PAC ID: 2668886722 Enrollment ID: O20210201001564 |
Mailing Address | Practice Location Address |
---|---|
Susan Northern Lacy, MD 1407 Union Ave, Ste 1401, Memphis, TN 38104-3667 Ph: (901) 701-1777 | Susan Northern Lacy, MD 6401 Poplar Ave Ste 530, Memphis, TN 38119-4840 Ph: (901) 767-9368 |
Kristin M. Miller, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 6750 Poplar Ave, Suite 210, Memphis, TN 38138 Phone: 901-756-6522 Fax: 901-435-0928 | |
Dr. Jason Glenn Williams, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 6745 Wolf River Blvd., Memphis, TN 38120 Phone: 901-767-8442 Fax: 901-684-6260 | |
Dr. Owen P. Phillips, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 6215 Humphreys Blvd Ste 201, Memphis, TN 38120 Phone: 901-866-8085 Fax: 901-515-3429 | |
Claudia Leonard Moise, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 6215 Humphreys Blvd, Suite 401, Memphis, TN 38120 Phone: 901-767-8448 Fax: 901-684-6260 | |
Dr. Kingsley Ogonna Oraedu, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 6025 Walnut Grove Rd, Ste 316, Memphis, TN 38120 Phone: 901-274-9717 Fax: 901-684-2008 | |
Mitchell Scott Mcalister, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2400 Poplar Ave, Suite 501, Memphis, TN 38112 Phone: 901-271-0896 Fax: 901-271-0897 | |
Dr. Dwight Melvyn Moore, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1264 Wesley Dr, Ste 402, Memphis, TN 38116 Phone: 901-396-5577 Fax: 901-396-5585 |