Amanda Rene Lacy, FNP - Medicare Nurse Practitioner in Amarillo, TX

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Amanda Rene Lacy, FNP is a medicare enrolled "Nurse Practitioner - Family" in Amarillo, Texas. Her current practice location is 1901 Medi Park Dr Ste 1068, Amarillo, Texas. You can reach out to her office (for appointments etc.) via phone at (806) 576-1095.

Amanda Rene Lacy is licensed to practice in Texas (license number 756225) 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 1255996104.

Contact Information

Amanda Rene Lacy, FNP
1901 Medi Park Dr Ste 1068,
Amarillo, TX 79106-2108
(806) 576-1095
Not Available

Map and Direction




Provider's Profile

Full NameAmanda Rene Lacy
GenderFemale
SpecialityNurse Practitioner - Family
Location1901 Medi Park Dr Ste 1068, Amarillo, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255996104
  • Provider Enumeration Date: 05/07/2019
  • Last Update Date: 06/10/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 4981938545
  • Enrollment ID: I20190702000693

Medical Identifiers

Medical identifiers for Amanda Rene Lacy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255996104NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 756225 (Texas)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. Amanda Rene Lacy allows following entities to bill medicare on her behalf.
Entity NameC&t Med Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710490180
PECOS PAC ID: 5395004972
Enrollment ID: O20180108001146
Entity NameRegency Ihs Nps Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619432986
PECOS PAC ID: 0749529766
Enrollment ID: O20190308000368

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. Amanda Rene Lacy 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
Amanda Rene Lacy, FNP
1007 Pagoda Dr,
Amarillo, TX 79110-2637

Ph: (806) 206-5115		Amanda Rene Lacy, FNP
1901 Medi Park Dr Ste 1068,
Amarillo, TX 79106-2108

Ph: (806) 576-1095

Reviews and Comments


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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).

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