Stacey Elizabeth Lacey, in Conway, SC - Medicare Nurse Practitioner

Stacey Elizabeth Lacey, is a medicare enrolled "Nurse Practitioner - Adult Health" in Conway, South Carolina. Her current practice location is 300 Singleton Ridge Rd, Conway, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 347-8175.

Stacey Elizabeth Lacey is licensed to practice in South Carolina (license number AP129484) 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 1679946008.

Contact Information

	Stacey Elizabeth Lacey,
	300 Singleton Ridge Rd, Conway, SC 29526-9142
	(843) 347-8175
	(432) 346-7598

Map and Direction

Provider's Profile

Full Name	Stacey Elizabeth Lacey
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	300 Singleton Ridge Rd, Conway, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679946008
Provider Enumeration Date: 11/06/2015
Last Update Date: 05/21/2020

Medicare PECOS Information:

PECOS PAC ID: 3779882667
Enrollment ID: I20230427002998

Medical Identifiers

Medical identifiers for Stacey Elizabeth Lacey such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679946008	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	758324 (Texas)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	AP129484 (Texas)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	AP129484 (South Carolina)	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. Stacey Elizabeth Lacey allows following entities to bill medicare on her behalf.

Entity Name	Mcleod Physician Associates Ii
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801990494 PECOS PAC ID: 8224031307 Enrollment ID: O20060926000568

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. Stacey Elizabeth Lacey 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
Stacey Elizabeth Lacey, 1401 Medical Pkwy, Bldg B, Ste 205, Cedar Park, TX 78613-7763 Ph: (512) 528-7401	Stacey Elizabeth Lacey, 300 Singleton Ridge Rd, Conway, SC 29526-9142 Ph: (843) 347-8175

Reviews and Comments

Nurse Practitioner Nurses in Conway, SC

Mrs. Danielle Karin Brown, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 251 University Blvd, Conway, SC 29526 Phone: 843-349-6543
Mr. Jonathan D. Briggs, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4300 Highway 90, Conway, SC 29526 Phone: 843-399-3377 Fax: 843-399-3378
Linda Lee Queen, ARPN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1608 Main St, Conway, SC 29526 Phone: 843-248-4700 Fax: 843-248-3145
Dr. Karen Jeanette Smith, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2996 E Highway 501, Conway, SC 29526 Phone: 843-347-2613
Betsy L Paul, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1113 Church St, Conway, SC 29526 Phone: 843-248-6269
Diana L Taylor, DNP, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 140 Professional Park Drive, Conway, SC 29526 Phone: 843-234-5678
Anooja Nair, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 834 Farrar Dr, Conway, SC 29526 Phone: 843-497-7275

Stacey Elizabeth Lacey, - Medicare Nurse Practitioner in Conway, SC