Jessica Ann Lacey, NP - Medicare Nurse Practitioner in Decatur, IL

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Jessica Ann Lacey, NP is a medicare enrolled "Nurse Practitioner - Family" in Decatur, Illinois. Her current practice location is 792 N Sunnyside Rd, Decatur, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 362-5442.

Jessica Ann Lacey is licensed to practice in Illinois (license number 209.008990) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1528349834.

Contact Information

Jessica Ann Lacey, NP
792 N Sunnyside Rd,
Decatur, IL 62522-1156
(217) 362-5442
(217) 362-5470

Map and Direction




Provider's Profile

Full NameJessica Ann Lacey
GenderFemale
SpecialityNurse Practitioner - Family
Location792 N Sunnyside Rd, Decatur, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1528349834
  • Provider Enumeration Date: 08/31/2011
  • Last Update Date: 05/22/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2264690031
  • Enrollment ID: I20120224000375

Medical Identifiers

Medical identifiers for Jessica Ann Lacey such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528349834NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209.008990 (Illinois)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jessica Ann Lacey allows following entities to bill medicare on her behalf.
Entity NamePhysicians Immediate Care Ltd.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528046323
PECOS PAC ID: 4486568813
Enrollment ID: O20031118001089
Entity NamePhysicians Immediate Care North Chicago Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205814118
PECOS PAC ID: 8729064159
Enrollment ID: O20040626000381
Entity NameToofan Medical Holdings Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396179693
PECOS PAC ID: 6800026006
Enrollment ID: O20140310001343
Entity NameWellnow Urgent Care, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669825162
PECOS PAC ID: 8325320864
Enrollment ID: O20190320001131

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. Jessica Ann Lacey 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 AddressPractice Location Address
Jessica Ann Lacey, NP
792 N Sunnyside Rd,
Decatur, IL 62522-1156

Ph: (217) 362-5442		Jessica Ann Lacey, NP
792 N Sunnyside Rd,
Decatur, IL 62522-1156

Ph: (217) 362-5442

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.