Mary Lacey, ANP | |
350 Hospital Dr, Macon, GA 99508-4615 | |
(478) 765-4132 | |
Not Available |
Full Name | Mary Lacey |
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Gender | Female |
Speciality | Nurse Practitioner - Neonatal |
Location | 350 Hospital Dr, Macon, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902096399 | NPI | - | NPPES |
RN182787 | Medicaid | GA | |
NP0794 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LN0000X | Nurse Practitioner - Neonatal | RN182787 (Georgia) | Primary |
363LP0222X | Nurse Practitioner - Pediatrics, Critical Care | 794 (Alaska) | Secondary |
Entity Name | Pediatrix Medical Group Of Ga, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295827574 PECOS PAC ID: 7416927447 Enrollment ID: O20040728000431 |
Mailing Address | Practice Location Address |
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Mary Lacey, ANP 350 Hospital Dr, Macon, GA 99519-6276 Ph: () - | Mary Lacey, ANP 350 Hospital Dr, Macon, GA 99508-4615 Ph: (478) 765-4132 |
Michelle Renee Brown, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 655 1st St, Macon, GA 31201 Phone: 478-301-5930 Fax: 478-301-5932 | |
Mrs. Jamie Lynn Harrelson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4061 Vineville Ave, Macon, GA 31210 Phone: 478-757-7345 | |
Skylar Nelson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 330 Hospital Dr Ste 200, Macon, GA 31217 Phone: 478-745-1191 | |
Jo Beth Roberts, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 777 Hemlock St, Macon, GA 31201 Phone: 478-633-6706 Fax: 478-633-5384 | |
Jennifer Johnson Slade, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3888 Northside Dr, Macon, GA 31210 Phone: 478-477-4044 Fax: 478-477-7076 | |
Mrs. Lynn Davis Waits, MSN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 College Station Dr, Macon, GA 31206 Phone: 478-471-2092 | |
Ms. Mirela Danaj, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 777 Hemlock Street Msc #104, Macon, GA 31201 Phone: 478-633-7550 |