Darryl O Lacy, PA is a medicare enrolled "Physician Assistant" in Rocky Ford, Colorado. He graduated from nursing school in 2007 and has 17 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Valley-wide Health Systems, Inc. and his current practice location is
903 S 12th St, Rocky Ford, Colorado. You can reach out to his office (for appointments etc.) via phone at
(719) 254-7623.
Darryl O Lacy is licensed to practice in Colorado (license number 2537) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1932381357.
Provider's Profile
| Full Name | Darryl O Lacy |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 17 Years |
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| Location | 903 S 12th St, Rocky Ford, Colorado |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Darryl O Lacy graduated from nursing school in 2007
NPI Data:
- NPI Number: 1932381357
- Provider Enumeration Date: 11/27/2007
- Last Update Date: 11/27/2007
Medicare PECOS Information:
- PECOS PAC ID: 4789774399
- Enrollment ID: I20071219000852
Medical Identifiers
Medical identifiers for Darryl O Lacy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932381357 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 2537 (Colorado) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Valley-wide Health Systems, Inc. | 5991609067 | 32 |
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. Darryl O 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 Address | Practice Location Address |
|---|
Darryl O Lacy, PA
128 Market St,
Alamosa, CO 81101-2290
Ph: (719) 589-5161 | Darryl O Lacy, PA
903 S 12th St,
Rocky Ford, CO 81067-2127
Ph: (719) 254-7623 |
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