Walter Burke Lackey, MD | |
2000 E Greenville St Ste 3700, Anderson, SC 29621-1725 | |
(864) 512-1916 | |
Not Available |
Full Name | Walter Burke Lackey |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 2000 E Greenville St Ste 3700, Anderson, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851854830 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 82600 (South Carolina) | Primary |
Entity Name | 24 On Physicians Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588613343 PECOS PAC ID: 5698688141 Enrollment ID: O20031111000018 |
Entity Name | Anmed Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639102270 PECOS PAC ID: 1951215243 Enrollment ID: O20040130000302 |
Entity Name | Anmed Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164746392 PECOS PAC ID: 1951215243 Enrollment ID: O20040315000478 |
Entity Name | Anmed Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427005727 PECOS PAC ID: 1951215243 Enrollment ID: O20040723000885 |
Mailing Address | Practice Location Address |
---|---|
Walter Burke Lackey, MD 2000 E Greenville St Ste 3700, Anderson, SC 29621-1725 Ph: (864) 512-1916 | Walter Burke Lackey, MD 2000 E Greenville St Ste 3700, Anderson, SC 29621-1725 Ph: (864) 512-1916 |
Justin M Moore, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4120 Highway 24, Anderson, SC 29626 Phone: 864-512-5830 Fax: 864-224-4999 | |
Mr. Wajdi Ali Dbouk, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3424 Clemson Blvd, Anderson, SC 29621 Phone: 864-261-4350 Fax: 864-261-4097 | |
Hunter E Woodall, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2000 E Greenville St, Suite 3700, Anderson, SC 29621 Phone: 864-512-1475 Fax: 864-512-1930 | |
Clifton Wade Straughn, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 105 Buford Ave, Anderson, SC 29621 Phone: 864-512-5901 Fax: 864-225-1058 | |
David Finney, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2000 E Greenville St, Suite 3700, Anderson, SC 29621 Phone: 228-424-7973 | |
Christine Lawrence, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 4144 Clemson Blvd, Anderson, SC 29621 Phone: 864-224-3332 | |
Melody S Franks, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4120 Highway 24, Anderson, SC 29626 Phone: 864-512-5830 Fax: 864-224-4999 |