Ms Mary Michele Lackey, PA in Poughkeepsie, NY - Medicare Physician Assistant

Ms Mary Michele Lackey, PA is a medicare enrolled "Physician Assistant" in Poughkeepsie, New York. Her current practice location is 17 Noxon St, Poughkeepsie, New York. You can reach out to her office (for appointments etc.) via phone at (845) 471-1540.

Ms Mary Michele Lackey is licensed to practice in New York (license number 002135) 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 1124272745.

Contact Information

	Ms Mary Michele Lackey, PA
	17 Noxon St, Poughkeepsie, NY 12601-4101
	(845) 471-1540
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Mary Michele Lackey
Gender	Female
Speciality	Physician Assistant
Location	17 Noxon St, Poughkeepsie, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124272745
Provider Enumeration Date: 11/10/2008
Last Update Date: 11/10/2008

Medicare PECOS Information:

PECOS PAC ID: 7517982507
Enrollment ID: I20051010000106

Medical Identifiers

Medical identifiers for Ms Mary Michele Lackey such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124272745	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	002135 (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. Ms Mary Michele 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
Ms Mary Michele Lackey, PA 17 Noxon St, Poughkeepsie, NY 12601-4101 Ph: (845) 471-1540	Ms Mary Michele Lackey, PA 17 Noxon St, Poughkeepsie, NY 12601-4101 Ph: (845) 471-1540

Reviews and Comments

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Ms Mary Michele Lackey, PA - Medicare Physician Assistant in Poughkeepsie, NY