Benjamin Lacy, DMD in Rockport, ME - Medicare Dentist Provider

Benjamin Lacy, DMD is a medicare enrolled "Dentist" provider in Rockport, Maine. His current practice location is 1060 Commercial St, Rockport, Maine. You can reach out to his office (for appointments etc.) via phone at (207) 594-5500.

Benjamin Lacy is licensed to practice in Maine (license number DEN4619) 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 1255823043.

Contact Information

	Benjamin Lacy, DMD
	1060 Commercial St, Rockport, ME 04856-3801
	(207) 594-5500
	(207) 596-6349

Healthcare Provider's Profile

Full Name	Benjamin Lacy
Gender	Male
Speciality	Dentist
Location	1060 Commercial St, Rockport, Maine
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255823043
Provider Enumeration Date: 06/06/2018
Last Update Date: 06/06/2018

Medicare PECOS Information:

PECOS PAC ID: 9931500493
Enrollment ID: I20210622002740

Medical Identifiers

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

Identifier	Type	State	Issuer
1255823043	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	DEN4619 (Maine)	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. Benjamin 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
Benjamin Lacy, DMD 1060 Commercial St, Rockport, ME 04856-3801 Ph: (207) 594-5500	Benjamin Lacy, DMD 1060 Commercial St, Rockport, ME 04856-3801 Ph: (207) 594-5500

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Dentist in Rockport, ME

Deborah W Endl, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1060 Commercial St, Glen Cove Dental Associates, Pa, Rockport, ME 04856 Phone: 207-594-5500 Fax: 207-596-6349
Dr. Brian Timothy Brunacini, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 625 Rockland St, Rockport, ME 04856 Phone: 207-236-3100
Eric Pier, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 634 Rockland St, Naval Hospital Camp Pendleton, Rockport, ME 04856 Phone: 207-230-0110
Rebecca Mary Laliberte, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 634 Rockland St, Rockport, ME 04856 Phone: 207-230-0110 Fax: 207-230-1116
Dr. Adam Elwood L'italien, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 10 Granite Way, Rockport, ME 04856 Phone: 207-236-2400
Kirk Round, DMD Dentist Medicare: Medicare Enrolled Practice Location: 5 Childrens Way, Rockport, ME 04856 Phone: 860-833-7075

Benjamin Lacy, DMD - Medicare Dentist in Rockport, ME