Catherine Talbot Lackie, FNP | |
6286 Briarcrest Ave Ste 200, Memphis, TN 38120-4023 | |
(901) 641-3000 | |
(901) 259-1698 |
Full Name | Catherine Talbot Lackie |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 6286 Briarcrest Ave Ste 200, Memphis, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629309463 | NPI | - | NPPES |
3371161 | Medicaid | TN | |
4306810 | Other | TN | BCBS TN |
620819926 | Other | MS | BCBS MS |
620819926 | Other | TN | AETNA |
7187860 | Medicaid | MS | |
110318002 | Medicaid | AR | |
9337653 | Other | TN | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 168742 (Tennessee) | Secondary |
363LF0000X | Nurse Practitioner - Family | 14930 (Tennessee) | Primary |
Entity Name | Msk Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376541409 PECOS PAC ID: 4688574262 Enrollment ID: O20040110000141 |
Mailing Address | Practice Location Address |
---|---|
Catherine Talbot Lackie, FNP 6077 Primacy Pkwy Ste 140, Memphis, TN 38119-5742 Ph: (901) 725-8347 | Catherine Talbot Lackie, FNP 6286 Briarcrest Ave Ste 200, Memphis, TN 38120-4023 Ph: (901) 641-3000 |
Michelle L Rush, MSN, APRN, BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 880 Madison Ave, Memphis, TN 38103 Phone: 901-545-6969 Fax: 901-545-1711 | |
Mrs. Leslie Rhodes, PNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 51 N Dunlap St Ste 100, Memphis, TN 38105 Phone: 901-287-7337 Fax: 901-937-6681 | |
Gwendolyn Watson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 201 Poplar Ave, Memphis, TN 38103 Phone: 901-545-2445 | |
Barbara A Overbey, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 825 Ridge Lake Blvd, Memphis, TN 38120 Phone: 901-685-2200 Fax: 901-259-2715 | |
Florida Allen, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3362 S 3rd St, Memphis, TN 38109 Phone: 901-701-2510 Fax: 901-260-8598 | |
Mrs. Sarah Michelle Wredling, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4066 Summer Ave, Memphis, TN 38122 Phone: 901-452-7391 | |
Teri Williams, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3530 Hickory Hill Rd, Memphis, TN 38115 Phone: 901-881-6686 |