Lacey Gober, CRNP - Medicare Nurse Practitioner in Lebanon, TN

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Lacey Gober, CRNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Lebanon, Tennessee. Her current practice location is 1029 W Main St Ste M, Lebanon, Tennessee. You can reach out to her office (for appointments etc.) via phone at (615) 453-1252.

Lacey Gober is licensed to practice in Alabama (license number 3-001079) 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 1063091346.

Contact Information

Lacey Gober, CRNP
1029 W Main St Ste M,
Lebanon, TN 37087-3347
(615) 453-1252
Not Available

Map and Direction




Provider's Profile

Full NameLacey Gober
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location1029 W Main St Ste M, Lebanon, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063091346
  • Provider Enumeration Date: 04/05/2021
  • Last Update Date: 07/10/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5092175430
  • Enrollment ID: I20230718001094

Medical Identifiers

Medical identifiers for Lacey Gober such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063091346NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 0000237578 (Tennessee)Secondary
363LP0200XNurse Practitioner - Pediatrics 3-001079 (Alabama)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 Gober allows following entities to bill medicare on her behalf.
Entity NameHouston County Healthcare Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619026606
PECOS PAC ID: 9436062296
Enrollment ID: O20040219000209

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 Gober 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
Lacey Gober, CRNP
274 Hutch Ct,
Gallatin, TN 37066-1575

Ph: (615) 627-8459		Lacey Gober, CRNP
1029 W Main St Ste M,
Lebanon, TN 37087-3347

Ph: (615) 453-1252

Reviews and Comments


Nurse Practitioner Nurses in Lebanon, TN

Ashley Anderson Mccormack,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1670 W Main St Ste 140, Lebanon, TN 37087
Phone: 615-994-8201    
Ali N Sorrell, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1418 W Main St, Lebanon, TN 37087
Phone: 615-453-7720    
Justin Groce, APRN
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 115 Winwood Dr, Suite 105, Lebanon, TN 37087
Phone: 615-444-4126    Fax: 855-785-2890
Mrs. Brandi Lindsey, R. N., C.P.N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1405 W Baddour Pkwy, Ste. 101, Lebanon, TN 37087
Phone: 615-449-5611    Fax: 615-444-7882
Ms. Kristy M Blaney, RN, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 100 Physicians Way, Suite 250, Lebanon, TN 37090
Phone: 615-444-3307    
Kathleen Elizabeth Miller,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2605 Mann Rd, Lebanon, TN 37087
Phone: 615-598-5490    
Carlie Morrison, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 365 S Hartmann Dr Ste 104, Lebanon, TN 37087
Phone: 615-243-8984    

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.