Lacey Rae Fox-smith, PNP is a
Nurse Practitioner - Pediatrics based in Mendon, New York. Lacey Rae Fox-smith is licensed to practice in New York (license number 382380) and her current practice location is
30 Assembly Dr Ste 101, Mendon, New York. She can be reached at her office (for appointments etc.) via phone at
(585) 624-4520.
NPI number for Lacey Rae Fox-smith is 1023397775 and her current mailing address is 30 Assembly Dr Ste 101, Mendon, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023397775.
Provider's Profile
| Full Name | Lacey Rae Fox-smith |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Pediatrics |
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| Location | 30 Assembly Dr Ste 101, Mendon, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1023397775
- Provider Enumeration Date: 08/12/2011
- Last Update Date: 08/24/2022
Medical Identifiers
Medical identifiers for Lacey Rae Fox-smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023397775 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 630457 (New York) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | 382380 (New York) | Primary |
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 Rae Fox-smith is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Lacey Rae Fox-smith, PNP
30 Assembly Dr Ste 101,
Mendon, NY 14506-9608
Ph: (585) 624-4520 | Lacey Rae Fox-smith, PNP
30 Assembly Dr Ste 101,
Mendon, NY 14506-9608
Ph: (585) 624-4520 |
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