Malkishuana Malkeil Lacy, OD in Dallas, TX - Medicare Optometrist Provider

Malkishuana Malkeil Lacy, OD is a medicare enrolled "Optometrist" provider in Dallas, Texas. His current practice location is 4444 W Jefferson Blvd, Ste 614, Dallas, Texas. You can reach out to his office (for appointments etc.) via phone at (214) 333-3937.

Malkishuana Malkeil Lacy is licensed to practice in Texas (license number 7205TG) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1396917514.

Contact Information

	Malkishuana Malkeil Lacy, OD
	4444 W Jefferson Blvd, Ste 614, Dallas, TX 75211-4600
	(214) 333-3937
	(214) 331-2021

Map and Direction

Healthcare Provider's Profile

Full Name	Malkishuana Malkeil Lacy
Gender	Male
Speciality	Optometrist
Location	4444 W Jefferson Blvd, Dallas, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396917514
Provider Enumeration Date: 03/27/2008
Last Update Date: 02/26/2015

Medicare PECOS Information:

PECOS PAC ID: 3274704143
Enrollment ID: I20110926000559

Medical Identifiers

Medical identifiers for Malkishuana Malkeil Lacy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396917514	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	7205TG (Texas)	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. Malkishuana Malkeil Lacy allows following entities to bill medicare on his behalf.

Provider Name	Lacy Eye Care Services Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1487904561 PECOS PAC ID: 4981853181 Enrollment ID: O20121003000648

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. Malkishuana Malkeil Lacy 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
Malkishuana Malkeil Lacy, OD 4444 W Jefferson Blvd, Ste 614, Dallas, TX 75211-4600 Ph: (214) 333-3937	Malkishuana Malkeil Lacy, OD 4444 W Jefferson Blvd, Ste 614, Dallas, TX 75211-4600 Ph: (214) 333-3937

Reviews and Comments

Optometrist in Dallas, TX

Elevate Eye Care, Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 200 Short Blvd, Dallas, TX 75232 Phone: 504-319-9017
Lynette Hyland Braun, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 462 Northpark Center, Dallas, TX 75225 Phone: 214-368-0059
Dr. Rachel Varghese, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8687 N Central Expy Ste 2200, Dallas, TX 75225 Phone: 000-000-0000
Thomas Allen Sakler, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7111marvan D Love Frwy, Ste 101, Dallas, TX 75201 Phone: 972-298-5379 Fax: 972-283-5863
Envision 20-20 Association Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1521 Cockrell Hill Rd, Dallas, TX 75211 Phone: 214-337-0530
Dr. John Francis Haarde Ii, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5494 Glen Lakes Dr, Dallas, TX 75231 Phone: 214-692-6220 Fax: 214-696-1579
Shelby Alyse Anderson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5560 W Lovers Ln Ste 240, Dallas, TX 75209 Phone: 469-775-9700 Fax: 806-791-4077

Malkishuana Malkeil Lacy, OD - Medicare Optometrist in Dallas, TX