Lacey Ann Guedry, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Sour Lake, Texas. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
689 6th Street, Sour Lake, Texas. You can reach out to her office (for appointments etc.) via phone at
(409) 287-4100.
Lacey Ann Guedry is licensed to practice in Texas (license number AP131235) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1821449208.
Provider's Profile
| Full Name | Lacey Ann Guedry |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 8 Years |
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| Location | 689 6th Street, Sour Lake, Texas |
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| Accepts Medicare Assignments | Yes. She 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:
- Lacey Ann Guedry graduated from nursing school in 2016
NPI Data:
- NPI Number: 1821449208
- Provider Enumeration Date: 06/27/2016
- Last Update Date: 01/03/2019
Medicare PECOS Information:
- PECOS PAC ID: 2860725660
- Enrollment ID: I20190611000969
Medical Identifiers
Medical identifiers for Lacey Ann Guedry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1821449208 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | AP131235 (Texas) | Primary |
Medical Facilities Affiliation
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. Lacey Ann Guedry allows following entities to bill medicare on her behalf.
| Entity Name | Sour Lake Health & Medical, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346511433
PECOS PAC ID: 0042473381
Enrollment ID: O20120523000486 |
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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. Lacey Ann Guedry 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 |
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Lacey Ann Guedry, FNP-C
Po Box 429,
Sour Lake, TX 77659-0429
Ph: (409) 287-4100 | Lacey Ann Guedry, FNP-C
689 6th Street,
Sour Lake, TX 77659-7765
Ph: (409) 287-4100 |
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