| Brian Lackey, NP | |
|
800 Tilghman Dr, Dunn, NC 28334-5510 | |
| (919) 461-0017 | |
| Not Available |
| Full Name | Brian Lackey |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Location | 800 Tilghman Dr, Dunn, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770290314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 249344 (North Carolina) | Secondary |
| 363L00000X | Nurse Practitioner | LACK-V9WF0 (North Carolina) | Primary |
| Entity Name | Cfvhs Ed Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215931589 PECOS PAC ID: 2961316237 Enrollment ID: O20031119000605 |
| Entity Name | The Carolinas Emergency Group, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477508836 PECOS PAC ID: 2567486814 Enrollment ID: O20060125000577 |
| Entity Name | Harnett Emergency Physicians, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316288350 PECOS PAC ID: 0749420677 Enrollment ID: O20130717000172 |
| Entity Name | Bull City Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770004285 PECOS PAC ID: 6901164938 Enrollment ID: O20171221001735 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Lackey, NP 62 Paula Dr, Angier, NC 27501-9029 Ph: (910) 494-0018 | Brian Lackey, NP 800 Tilghman Dr, Dunn, NC 28334-5510 Ph: (919) 461-0017 |
Rhonda Mann Lovvorn, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 Tilghman Dr, Dunn, NC 28334 Phone: 910-892-1000 | |
Amy Lynn Dougherty, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 801 Tilghman Dr Ste A, Dunn, NC 28334 Phone: 919-966-4260 | |
Dr. Mary Margaret Tripp Hether, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1120 W Broad St Ste B, Dunn, NC 28334 Phone: 910-591-1277 Fax: 910-255-5147 | |
Ms. Eboni Grace Mccoy, NP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 721 Tilghman Dr, Dunn, NC 28334 Phone: 910-304-1212 | |
Kimberly Bronson, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3331 Easy St, Dunn, NC 28334 Phone: 910-567-6194 Fax: 910-567-5342 | |
Cynthia C Akpaka, DNP,APRN, FNP, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3331 Easy St, Dunn, NC 28334 Phone: 910-567-6194 | |
Debra Kosko, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 801 Tilghman Dr Ste A, Dunn, NC 28334 Phone: 910-892-6500 Fax: 910-302-5897 |