Ashley Coby Lackey, CRNP | |
19707 Us Highway 280 E, Apt 1309, Smiths Station, AL 36877-4031 | |
(256) 572-5936 | |
Not Available |
Full Name | Ashley Coby Lackey |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 16 Years |
Location | 19707 Us Highway 280 E, Smiths Station, Alabama |
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 |
---|---|---|---|
1679847487 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 1-122189 (Alabama) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Magnolia Medical Llc | 9931508439 | 4 |
Entity Name | United Doctors Family Medical Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013313709 PECOS PAC ID: 0648597567 Enrollment ID: O20150402000069 |
Entity Name | Southern Divine Family Medical Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104456920 PECOS PAC ID: 0648692582 Enrollment ID: O20200622002415 |
Entity Name | Gana Holdings, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396375267 PECOS PAC ID: 3476978412 Enrollment ID: O20200807000386 |
Entity Name | Magnolia Medical Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851976054 PECOS PAC ID: 9931508439 Enrollment ID: O20210714000568 |
Mailing Address | Practice Location Address |
---|---|
Ashley Coby Lackey, CRNP 2986 Us Highway 431, Boaz, AL 35957-5848 Ph: (256) 572-5936 | Ashley Coby Lackey, CRNP 19707 Us Highway 280 E, Apt 1309, Smiths Station, AL 36877-4031 Ph: (256) 572-5936 |
Trenton Watson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 533 Shadow Wood Dr, Smiths Station, AL 36877 Phone: 850-814-4107 | |
Tamara Rene Quinones, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 32 Lee Road 2136, Smiths Station, AL 36877 Phone: 706-615-8887 |