Lisa Renee Lackey, APRN in Henderson, NV - Medicare Nurse Practitioner

Lisa Renee Lackey, APRN is a medicare enrolled "Nurse Practitioner" in Henderson, Nevada. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Optum Medical Group Ii Rhodes P C and her current practice location is 56 N Pecos Rd, Henderson, Nevada. You can reach out to her office (for appointments etc.) via phone at (702) 877-5199.

Lisa Renee Lackey is licensed to practice in Nevada (license number 818418) 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 1104122647.

Contact Information

	Lisa Renee Lackey, APRN
	56 N Pecos Rd, Henderson, NV 89074-7331
	(702) 877-5199
	Not Available

Map and Direction

Provider's Profile

Full Name	Lisa Renee Lackey
Gender	Female
Speciality	Nurse Practitioner
Experience	14 Years
Location	56 N Pecos Rd, Henderson, Nevada
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Lisa Renee Lackey graduated from nursing school in 2010

NPI Data:

NPI Number: 1104122647
Provider Enumeration Date: 02/01/2011
Last Update Date: 01/31/2020

Medicare PECOS Information:

PECOS PAC ID: 8426209149
Enrollment ID: I20200219000042

Medical Identifiers

Medical identifiers for Lisa Renee Lackey such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104122647	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	CNP-01735 (New Mexico)	Secondary
363L00000X	Nurse Practitioner	818418 (Nevada)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Optum Medical Group Ii Rhodes P C	4981687779	312

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. Lisa Renee Lackey allows following entities to bill medicare on her behalf.

Entity Name	Southwest Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659346005 PECOS PAC ID: 6103730544 Enrollment ID: O20031118001102

Entity Name	Optum Medical Group Ii Rhodes P C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770556037 PECOS PAC ID: 4981687779 Enrollment ID: O20040611000770

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. Lisa Renee Lackey 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
Lisa Renee Lackey, APRN Po Box 35380, Las Vegas, NV 89133-5380 Ph: (702) 877-5199	Lisa Renee Lackey, APRN 56 N Pecos Rd, Henderson, NV 89074-7331 Ph: (702) 877-5199

Reviews and Comments

Nurse Practitioner Nurses in Henderson, NV

Lydia Glaude, PHD, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2662 W Horizon Ridge Pkwy, Henderson, NV 89052 Phone: 702-616-9660
Mrs. Edith Lamira Odiwo, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2200 Paseo Verde Pkwy Ste 190, Henderson, NV 89052 Phone: 702-589-4871 Fax: 702-589-4872
Martha Kim, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9065 S Pecos Rd Ste 190, Henderson, NV 89074 Phone: 702-888-3148
Dr. Timothy Martin, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 245 Sweet Spot St, Henderson, NV 89074 Phone: 702-324-7702
Ms. Jan Kathleen Vero Stanek, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10001 S Eastern Ave Ste 108, Henderson, NV 89052 Phone: 702-952-3444
Vanessa Beltran Mariasis, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3021 W Horizon Ridge Pkwy, Henderson, NV 89052 Phone: 702-947-2650
Crystal Celeste Huffaker, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1655 W Horizon Ridge Pkwy, Henderson, NV 89012 Phone: 702-476-9999 Fax: 702-946-1343

Lisa Renee Lackey, APRN - Medicare Nurse Practitioner in Henderson, NV