Heather Taylor Lackey, NP | |
2920 Forestville Rd Ste 100, Raleigh, NC 27616-8774 | |
(860) 882-7525 | |
Not Available |
Full Name | Heather Taylor Lackey |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 2920 Forestville Rd Ste 100, Raleigh, North Carolina |
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 |
---|---|---|---|
1023673993 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 169725 (North Carolina) | Secondary |
363LF0000X | Nurse Practitioner - Family | 5011876 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Carolinas Healthcare System-blue Ridge | Morganton, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Geriatric Consultants Pllc | 5294132387 | 32 |
Entity Name | Geriatric Consultants Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801478086 PECOS PAC ID: 5294132387 Enrollment ID: O20210915003266 |
Entity Name | Careconnectmd North Carolina P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104507441 PECOS PAC ID: 3971965898 Enrollment ID: O20230809002596 |
Mailing Address | Practice Location Address |
---|---|
Heather Taylor Lackey, NP 4687 Blair Dr, Lenoir, NC 28645-3535 Ph: (828) 320-6437 | Heather Taylor Lackey, NP 2920 Forestville Rd Ste 100, Raleigh, NC 27616-8774 Ph: (860) 882-7525 |
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