Tyler Lacey, MD - Medicare Family Practice in Fergus Falls, MN

Tyler Lacey, MD is a medicare enrolled "Family Medicine" physician in Fergus Falls, Minnesota. He went to University Of Minnesota Medical School and graduated in 2017 and has 7 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Lake Region Healthcare Corporation and his current practice location is 111 W Vernon Ave, Fergus Falls, Minnesota. You can reach out to his office (for appointments etc.) via phone at (218) 739-2221.

Tyler Lacey is licensed to practice in Minnesota (license number 64592) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1255866877.

Contact Information

Tyler Lacey, MD
111 W Vernon Ave,
Fergus Falls, MN 56537-2741
(218) 739-2221
Not Available

Map and Direction




Physician's Profile

Full NameTyler Lacey
GenderMale
SpecialityFamily Practice
Experience7 Years
Location111 W Vernon Ave, Fergus Falls, Minnesota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tyler Lacey attended and graduated from University Of Minnesota Medical School in 2017
  NPI Data:
  • NPI Number: 1255866877
  • Provider Enumeration Date: 04/21/2017
  • Last Update Date: 07/02/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2961735360
  • Enrollment ID: I20200924002824

Medical Identifiers

Medical identifiers for Tyler Lacey such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255866877NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 64592 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Recover HealthSaint cloud, MNHome health agency
L B Home CareFergus falls, MNHome health agency
Knute Nelson HospiceAlexandria, MNHospice
Hospice Of Red River ValleyFargo, NDHospice
Lake Region Healthcare CorporationFergus falls, MNHospital
Prairie Ridge Hospital And Health ServicesElbow lake, MNHospital
Sanford Medical Center FargoFargo, NDHospital
Pioneer Care CenterFergus falls, MNNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lake Region Healthcare Corporation3971565334114

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. Tyler Lacey allows following entities to bill medicare on his behalf.
Entity NameLake Region Healthcare Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093713372
PECOS PAC ID: 3971565334
Enrollment ID: O20060109000246

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. Tyler 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 AddressPractice 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

Reviews and Comments


Family Medicine Doctors in Fergus Falls, MN

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

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.