Mr Jason David Lacy, MSR, OTR-L, ATP is a
Occupational Therapist based in Chickamauga, Georgia. Mr Jason David Lacy is licensed to practice in Tennessee (license number OT2656) and his current practice location is
74 Glass Mill Pointe Dr, Chickamauga, Georgia. He can be reached at his office (for appointments etc.) via phone at
(706) 375-3050.
NPI number for Mr Jason David Lacy is 1255489324 and his current mailing address is 74 Glass Mill Pointe Dr, Chickamauga, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1255489324.
Healthcare Provider's Profile
Full Name | Mr Jason David Lacy |
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Gender | Male |
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Speciality | Occupational Therapist |
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Location | 74 Glass Mill Pointe Dr, Chickamauga, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1255489324
- Provider Enumeration Date: 01/08/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Jason David Lacy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255489324 | NPI | - | NPPES |
OT3322 | Other | GA | OT STATE LICENSE |
OT2656 | Other | TN | OT STATE LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | OT2656 (Tennessee) | 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. Mr Jason David Lacy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Jason David Lacy, MSR, OTR-L, ATP 74 Glass Mill Pointe Dr, Chickamauga, GA 30707-3478 Ph: () - | Mr Jason David Lacy, MSR, OTR-L, ATP 74 Glass Mill Pointe Dr, Chickamauga, GA 30707-3478 Ph: (706) 375-3050 |
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