Kent T Lacey (NPI# 1043226517, PAC ID# 5799844387) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1043226517 |
| PAC ID by PECOS | 5799844387 |
| Professional Enrollment ID | I20081112000044 |
| Full Name | Kent T Lacey |
| Organization Legal Name | STATE OF NEBRASKA DEPT OF ADMIN SERVICES |
| Address |
1102 W 42nd St Western Nebraska Veterans Home Scottsbluff NE 69361-4711 |
| Phone Number | 4024711831 |
| Gender | M |
| Medical School | UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE |
| Graduation Year | 1979 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0648180828 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 280061 | REGIONAL WEST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1102 W 42nd St, Western Nebraska Veterans Home, Scottsbluff, NE 69361-4711 | 4024711831 | STATE OF NEBRASKA DEPT OF ADMIN SERVICES |
| 3911 Ave B, Suite 1100, Scottsbluff, NE 69361-4617 | 3086302100 | REGIONAL WEST PHYSICIANS CLINIC |
| Organization Legal Name | STATE OF NEBRASKA DEPT OF ADMIN SERVICES |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cheryl M Mcmurry | Nurse Practitioner | State of Nebraska Dept of Admin Services | 801 W Prospector Place, Lincoln Regional Center, Lincoln, NE 68522-1970 |
| Jolene A Pike | Nurse Practitioner | State of Nebraska Dept of Admin Services | 3000 Lincoln St, Beatrice, NE 68310-3319 |
| Bradley D Rodgers | General Practice | State of Nebraska Dept of Admin Services | 2300 W Capital Ave, Grand Island Veterans Home, Grand Island, NE 68803-2003 |
| Tara A Longoria | Family Medicine | State of Nebraska Dept of Admin Services | 1102 W 42nd St, Western Nebraska Veterans Home, Scottsbluff, NE 69361-4711 |
| Marilin J Crawford | Nurse Practitioner | State of Nebraska Dept of Admin Services | 3000 Lincoln St, Beatrice, NE 68310-3319 |
| Street Address |
1102 W 42ND ST WESTERN NEBRASKA VETERANS HOME |
| City | SCOTTSBLUFF |
| State | NE |
| Zip | 69361-4711 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tara A Longoria | Family Medicine | State of Nebraska Dept of Admin Services | 1102 W 42nd St, Western Nebraska Veterans Home, Scottsbluff, NE 69361-4711 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Schlothauer | Nurse Practitioner | Regional West Physicians Clinic | 2 W 42nd St, Suite 3500, Scottsbluff, NE 69361-0606 |
| Jeffrey A Holloway | General Surgery | Regional West Physicians Clinic | 2 W 42nd St, Suite 3100, Scottsbluff, NE 69361-0612 |
| Bradley K Hertzler | General Surgery | Regional West Physicians Clinic | 2 W 42nd St, Suite 3100, Scottsbluff, NE 69361-0612 |
| Joshua L Pringle | General Surgery | Regional West Physicians Clinic | 2 W 42nd St, Suite 3100, Scottsbluff, NE 69361-0612 |
| Rajendra K Motwani | Urology | Regional West Physicians Clinic | 2 W 42nd St, Suite 3600, Scottsbluff, NE 69361-0618 |
| Jennifer A Cerutti | Urology | Regional West Physicians Clinic | 2 W 42nd St, Suite 3600, Scottsbluff, NE 69361-0618 |
| Jacob J Krieg | Optometry | Bluffs Vision Care, PC | 416 Valley View Dr, Suite 100, Scottsbluff, NE 69361-1444 |
| Jon Michael Darnell | Optometry | Bluffs Vision Care, PC | 416 Valley View Dr, Suite 100, Scottsbluff, NE 69361-1444 |
| Renell H Sinha | Optometry | Bluffs Vision Care, PC | 416 Valley View Dr, Suite 100, Scottsbluff, NE 69361-1444 |
| Susan Elaine Martinez | Clinical Social Worker | 2626 Broadway, Scottsbluff, NE 69361-1608 | |
| Find all physicians in zip 69361 | |||
| City | SCOTTSBLUFF |
| Zip Code | 69361 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SCOTTSBLUFF + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Kent T Lacey.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.