James M Lackey, PA-C is a
Physician Assistant - Medical based in Nutter Fort, West Virginia. James M Lackey is licensed to practice in West Virginia (license number TEMP) and his current practice location is
200 Route 98 W St, Suite 103, Nutter Fort, West Virginia. He can be reached at his office (for appointments etc.) via phone at
(304) 623-6330.
NPI number for James M Lackey is 1497080717 and his current mailing address is 200 Route 98 W St, Suite 103, Nutter Fort, West Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1497080717.
Provider's Profile
| Full Name | James M Lackey |
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| Gender | Male |
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| Speciality | Physician Assistant - Medical |
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| Location | 200 Route 98 W St, Nutter Fort, West Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1497080717
- Provider Enumeration Date: 10/05/2009
- Last Update Date: 10/05/2009
Medical Identifiers
Medical identifiers for James M Lackey such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497080717 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | TEMP (West Virginia) | Primary |
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. James M Lackey is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
James M Lackey, PA-C
200 Route 98 W St, Suite 103,
Nutter Fort, WV 26301-4385
Ph: (304) 623-6330 | James M Lackey, PA-C
200 Route 98 W St, Suite 103,
Nutter Fort, WV 26301-4385
Ph: (304) 623-6330 |
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