Rachael Clark Lackey, ARNP - Medicare Nurse Practitioner in Thomasville, GA

  1. Home
  2. Nurse Practitioner
  3. GA
  4. Thomasville
Rachael Clark Lackey, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Thomasville, Georgia. Her current practice location is 4681 Us Highway 84 Byp W, Thomasville, Georgia. You can reach out to her office (for appointments etc.) via phone at (229) 227-2936.

Rachael Clark Lackey is licensed to practice in Georgia (license number RN224594) 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 1780922849.

Contact Information

Rachael Clark Lackey, ARNP
4681 Us Highway 84 Byp W,
Thomasville, GA 31792-2607
(229) 227-2936
(229) 226-2036

Map and Direction




Provider's Profile

Full NameRachael Clark Lackey
GenderFemale
SpecialityNurse Practitioner - Family
Location4681 Us Highway 84 Byp W, Thomasville, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1780922849
  • Provider Enumeration Date: 01/24/2013
  • Last Update Date: 10/06/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 6901197904
  • Enrollment ID: I20161018000077

Medical Identifiers

Medical identifiers for Rachael Clark Lackey such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780922849NPI-NPPES
ARNP9297951OtherFLFLORIDA DEPARTMENT OF HEALTH
RN224594OtherGAGA LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics ARNP9297951 (Florida)Secondary
363LF0000XNurse Practitioner - Family RN224594 (Georgia)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. Rachael Clark Lackey allows following entities to bill medicare on her behalf.
Entity NamePrimary Care Of Southwest Georgia Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366641318
PECOS PAC ID: 5496777948
Enrollment ID: O20060201000362

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. Rachael Clark 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 AddressPractice Location Address
Rachael Clark Lackey, ARNP
454 Smith Ave,
Thomasville, GA 31792-5535

Ph: (229) 584-2540		Rachael Clark Lackey, ARNP
4681 Us Highway 84 Byp W,
Thomasville, GA 31792-2607

Ph: (229) 227-2936

Reviews and Comments


Nurse Practitioner Nurses in Thomasville, GA

Mrs. Melanie Jai Balfour, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 100 S Madison St, Thomasville, GA 31792
Phone: 229-236-0831    Fax: 229-236-0871
Mrs. Courtnay Kelly Perryman, PMHNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1102 Smith Ave Ste K, Thomasville, GA 31792
Phone: 229-225-4335    
Ms. Allen R Lybrook, APRN,BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 116 Mimosa Dr, Thomasville, GA 31792
Phone: 229-226-5788    Fax: 229-226-2548
Mrs. Patrice Gunter Bullock, MSN, APRN-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 115 Circle Dr, Thomasville, GA 31792
Phone: 229-225-9830    
Kristin F Deutsch, N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 112 Mimosa Dr, Thomasville, GA 31792
Phone: 229-227-0045    Fax: 229-227-9120
Cecilie Cowie, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 900 Gordon Ave, Thomasville, GA 31792
Phone: 229-226-0125    Fax: 229-226-0195
Mrs. Lisa S Carr, CNP
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 918 S Broad St, Thomasville, Thomasville, GA 31792
Phone: 229-226-8800    Fax: 229-226-8232

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.