Vicki Lackey, ANP in Munster, IN - Medicare Nurse Practitioner

Vicki Lackey, ANP is a medicare enrolled "Nurse Practitioner - Family" in Munster, Indiana. Her current practice location is 1950 45th St Ste 200, Munster, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 912-3376.

Vicki Lackey is licensed to practice in Indiana (license number 71001103) 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 1760421663.

Contact Information

	Vicki Lackey, ANP
	1950 45th St Ste 200, Munster, IN 46321-3958
	(219) 912-3376
	(219) 529-6267

Map and Direction

Provider's Profile

Full Name	Vicki Lackey
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1950 45th St Ste 200, Munster, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760421663
Provider Enumeration Date: 06/06/2006
Last Update Date: 10/03/2022

Medicare PECOS Information:

PECOS PAC ID: 3971491713
Enrollment ID: I20040304001059

Medical Identifiers

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

Identifier	Type	State	Issuer
1760421663	NPI	-	NPPES
200459250	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	71001103 (Indiana)	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. Vicki Lackey allows following entities to bill medicare on her behalf.

Entity Name	Skin Dermatology, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386399749 PECOS PAC ID: 5991187577 Enrollment ID: O20220728001977

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. Vicki 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
Vicki Lackey, ANP 1950 45th St Ste 200, Munster, IN 46321-3958 Ph: (219) 912-3376	Vicki Lackey, ANP 1950 45th St Ste 200, Munster, IN 46321-3958 Ph: (219) 912-3376

Reviews and Comments

Nurse Practitioner Nurses in Munster, IN

Konstantina Gardikiotes, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9410 Calumet Ave Ste 101, Munster, IN 46321 Phone: 219-922-8051
Jennifer Dawn Stone, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9250 Columbia Ave Ste 2e, Munster, IN 46321 Phone: 219-595-0043 Fax: 219-237-2894
Kathleen A Carlson, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 761 45th St Ste 103, Munster, IN 46321 Phone: 219-922-3002 Fax: 219-922-3003
Mrs. Amara Donella Dickerson, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9410 Calumet Ave Ste 401, Munster, IN 46321 Phone: 219-922-4900 Fax: 219-836-9922
Jennifer Lee Franklin, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 701 Superior Ave Ste 2700, Munster, IN 46321 Phone: 219-922-7168 Fax: 219-922-7170
Olaide Avoseh, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9128 Columbia Ave, Munster, IN 46321 Phone: 219-836-2730
Brett Allen Milkevitch, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7905 Calumet Ave, Munster, IN 46321 Phone: 219-836-5800 Fax: 219-836-3048

Vicki Lackey, ANP - Medicare Nurse Practitioner in Munster, IN