Lacey Ann Hackworth-rothwell, CNP in Raymore, MO

Lacey Ann Hackworth-rothwell, CNP is a medicare enrolled "Nurse Practitioner" in Raymore, Missouri. Her current practice location is 418 Sunflower Dr, Raymore, Missouri. You can reach out to her office (for appointments etc.) via phone at (903) 276-5017.

Lacey Ann Hackworth-rothwell is licensed to practice in Kansas (license number 53-82956-121) 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 1740046077.

Contact Information

	Lacey Ann Hackworth-rothwell, CNP
	418 Sunflower Dr, Raymore, MO 64083-7813
	(903) 276-5017
	Not Available

Map and Direction

Provider's Profile

Full Name	Lacey Ann Hackworth-rothwell
Gender	Female
Speciality	Nurse Practitioner
Location	418 Sunflower Dr, Raymore, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740046077
Provider Enumeration Date: 02/23/2024
Last Update Date: 03/18/2024

Medicare PECOS Information:

PECOS PAC ID: 8729427596
Enrollment ID: I20240413000370

Medical Identifiers

Medical identifiers for Lacey Ann Hackworth-rothwell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740046077	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	TMP-162253 (Kansas)	Secondary
363L00000X	Nurse Practitioner	53-82956-121 (Kansas)	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. Lacey Ann Hackworth-rothwell allows following entities to bill medicare on her behalf.

Entity Name	Cotton O'neil Clinic Revocable Trust
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811944457 PECOS PAC ID: 5496659195 Enrollment ID: O20031124000674

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 Hackworth-rothwell 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
Lacey Ann Hackworth-rothwell, CNP 418 Sunflower Dr, Raymore, MO 64083-7813 Ph: (903) 276-5017	Lacey Ann Hackworth-rothwell, CNP 418 Sunflower Dr, Raymore, MO 64083-7813 Ph: (903) 276-5017

Reviews and Comments

Nurse Practitioner Nurses in Raymore, MO

Mrs. Jacklyn Chanell Griffin, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1215 W Foxwood Dr, Raymore, MO 64083 Phone: 816-318-8022
Mrs. Emilia Elizabeth Wilson, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 242 Broadmoor Dr, Raymore, MO 64083 Phone: 816-803-0433
Mrs. Kathryn Lee Pickett, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1215 W Foxwood Dr, Raymore, MO 64083 Phone: 866-389-2727
Joshua Clay Herbert, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1215 W Foxwood Dr, Raymore, MO 64083 Phone: 866-389-2727
Adrienne Kimball, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 501 N Sunset Ln, Raymore, MO 64083 Phone: 844-853-8937
Nicholas N White, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1215 W Foxwood Dr, Raymore, MO 64083 Phone: 866-389-2727
Marda Collings, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1215 W Foxwood Dr, Raymore, MO 64083 Phone: 866-389-2727

Lacey Ann Hackworth-rothwell, CNP - Medicare Nurse Practitioner in Raymore, MO