Tyler Lacey, MD | |
111 W Vernon Ave, Fergus Falls, MN 56537-2741 | |
(218) 739-2221 | |
Not Available |
Full Name | Tyler Lacey |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 7 Years |
Location | 111 W Vernon Ave, Fergus Falls, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255866877 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 64592 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Recover Health | Saint cloud, MN | Home health agency |
L B Home Care | Fergus falls, MN | Home health agency |
Knute Nelson Hospice | Alexandria, MN | Hospice |
Hospice Of Red River Valley | Fargo, ND | Hospice |
Lake Region Healthcare Corporation | Fergus falls, MN | Hospital |
Prairie Ridge Hospital And Health Services | Elbow lake, MN | Hospital |
Sanford Medical Center Fargo | Fargo, ND | Hospital |
Pioneer Care Center | Fergus falls, MN | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lake Region Healthcare Corporation | 3971565334 | 114 |
Entity Name | Lake Region Healthcare Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093713372 PECOS PAC ID: 3971565334 Enrollment ID: O20060109000246 |
Mailing Address | Practice Location Address |
---|---|
Tyler Lacey, MD 712 S Cascade St, Fergus Falls, MN 56537-2913 Ph: (218) 736-8000 | Tyler Lacey, MD 111 W Vernon Ave, Fergus Falls, MN 56537-2741 Ph: (218) 739-2221 |
Lonnie William Berger, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 712 S Cascade St, Fergus Falls, MN 56537 Phone: 218-736-8000 Fax: 218-739-6718 | |
Daniel L Lembcke, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 712 South Cascade Street, Fergus Falls, MN 56537 Phone: 218-736-8000 Fax: 218-736-8757 | |
Dr. Ibrahim Ali Khan, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 111 W Vernon Ave, Fergus Falls, MN 56537 Phone: 218-739-2221 | |
Patricia J. Lindholm, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 712 South Cascade Street, Fergus Falls, MN 56537 Phone: 218-736-8000 Fax: 218-739-6742 | |
Michael J Vanvalkenburg, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 712 South Cascade Street, Fergus Falls, MN 56537 Phone: 218-736-8000 Fax: 218-736-8757 | |
Robert A Vennerstrom, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 712 South Cascade Street, Fergus Falls, MN 56537 Phone: 218-736-8000 Fax: 218-739-6742 |