Dr Lacey Dustin Bedoy, OD is a medicare enrolled "Specialist" provider in New York, New York. Her current practice location is
454 Malcolm X Blvd, New York, New York. You can reach out to her office (for appointments etc.) via phone at
(212) 368-2020.
Dr Lacey Dustin Bedoy is licensed to practice in New Jersey (license number 27OAOO620000) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1629208525.
Healthcare Provider's Profile
Full Name | Dr Lacey Dustin Bedoy |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 454 Malcolm X Blvd, New York, New York |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Lacey Dustin Bedoy attended and graduated from in
NPI Data:
- NPI Number: 1629208525
- Provider Enumeration Date: 07/26/2009
- Last Update Date: 11/16/2018
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Lacey Dustin Bedoy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629208525 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | TUV007642-1 (New York) | Secondary |
174400000X | Specialist | 27OAOO620000 (New Jersey) | 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. Dr Lacey Dustin Bedoy 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 |
Dr Lacey Dustin Bedoy, OD 454 Malcolm X Blvd, New York, NY 10037-3320 Ph: (212) 368-2020 | Dr Lacey Dustin Bedoy, OD 454 Malcolm X Blvd, New York, NY 10037-3320 Ph: (212) 368-2020 |
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