| Lacey Caroline Gardner, PA-C | |
|
1970 Ashland Dr, Mount Pleasant, MI 48858-1203 | |
| (989) 779-5262 | |
| (989) 772-6784 |
| Full Name | Lacey Caroline Gardner |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 17 Years |
| Location | 1970 Ashland Dr, Mount Pleasant, Michigan |
| 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 |
|---|---|---|---|
| 1679758254 | NPI | - | NPPES |
| 010Z960170 | Other | MI | BLUE CROSS BLUE SHIELD |
| MI1118 | Other | MI | MEDICARE GROUP NUMBER |
| 080B610040 | Other | MI | BCBS |
| 0P43930 | Other | MI | MEDICARE GROUP NUMBER |
| 0Z96017 | Other | MI | MEDICARE GROUP |
| 0Z96017 | Other | MI | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601005080 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mclaren Central Michigan | Mount pleasant, MI | Hospital |
| Midmichigan Medical Center-clare | Clare, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Isabella Citizens For Health Inc | 9335386051 | 14 |
| Mailing Address | Practice Location Address |
|---|---|
| Lacey Caroline Gardner, PA-C 1970 Ashland Dr, Mount Pleasant, MI 48858-1203 Ph: (989) 779-5262 | Lacey Caroline Gardner, PA-C 1970 Ashland Dr, Mount Pleasant, MI 48858-1203 Ph: (989) 779-5262 |
Diane M Visich, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 211 S Crapo St, Suite A, Mount Pleasant, MI 48858 Phone: 989-775-3823 Fax: 989-773-5061 | |
Norman Francis Curtiss Iv, PHARMD, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 108 S Oak St, Mount Pleasant, MI 48858 Phone: 989-506-7237 | |
Logan James Piontek, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1280 E Campus Dr, Mount Pleasant, MI 48858 Phone: 920-309-3109 | |
Hsin-kai Chen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1523 S Mission St, Mount Pleasant, MI 48858 Phone: 989-773-1166 Fax: 989-772-6835 | |
Justine Thompson, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1280 E Campus Dr, Mount Pleasant, MI 48859 Phone: 989-205-3807 | |
Carrie Ann White, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2890 Health Pkwy, Mount Pleasant, MI 48858 Phone: 989-593-4111 Fax: 989-773-6267 | |
Colin N Mcgraw, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2480 Rosewood N, Mount Pleasant, MI 48858 Phone: 198-977-5382 Fax: 989-317-3660 |