Ms Lacey Jean Carter, MS CCC SLP is a
Speech-language Pathologist based in Newbern, Tennessee. Ms Lacey Jean Carter is licensed to practice in Tennessee (license number 0000004527) and her current practice location is
213 Glendale Rd, Newbern, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(303) 720-9160.
NPI number for Ms Lacey Jean Carter is 1417389743 and her current mailing address is 213 Glendale Rd, Newbern, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417389743.
Healthcare Provider's Profile
| Full Name | Ms Lacey Jean Carter |
|---|
| Gender | Female |
|---|
| Speciality | Speech-language Pathologist |
|---|
| Location | 213 Glendale Rd, Newbern, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1417389743
- Provider Enumeration Date: 08/09/2013
- Last Update Date: 07/20/2023
Medical Identifiers
Medical identifiers for Ms Lacey Jean Carter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417389743 | NPI | - | NPPES |
| 1417389743 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | SLP0001902 (Colorado) | Secondary |
| 235Z00000X | Speech-language Pathologist | 4150 (Kentucky) | Secondary |
| 235Z00000X | Speech-language Pathologist | ASHA12157421 (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | LL60326759 (Washington) | Secondary |
| 235Z00000X | Speech-language Pathologist | 0000004527 (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. Ms Lacey Jean Carter 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 |
|---|
Ms Lacey Jean Carter, MS CCC SLP
213 Glendale Rd,
Newbern, TN 38059-5118
Ph: (303) 720-9160 | Ms Lacey Jean Carter, MS CCC SLP
213 Glendale Rd,
Newbern, TN 38059
Ph: (303) 720-9160 |
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