Evin Lackore, MD in Omaha, NE - Medicare Pediatrics

Evin Lackore, MD is a medicare enrolled "Pediatrics" physician in Omaha, Nebraska. His current practice location is Unmc Pediatrics Residency Program, 982185 Nebraska Medical Center, Omaha, Nebraska. You can reach out to his office (for appointments etc.) via phone at (402) 559-5380.

Evin Lackore is licensed to practice in Nebraska (license number 7646) 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 1063862779.

Contact Information

	Evin Lackore, MD
	Unmc Pediatrics Residency Program, 982185 Nebraska Medical Center, Omaha, NE 68198
	(402) 559-5380
	Not Available

Physician's Profile

Full Name	Evin Lackore
Gender	Male
Speciality	Pediatrics
Location	Unmc Pediatrics Residency Program, Omaha, Nebraska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063862779
Provider Enumeration Date: 06/14/2016
Last Update Date: 06/14/2016

Medicare PECOS Information:

PECOS PAC ID: 1850686114
Enrollment ID: I20160825000938

Medical Identifiers

Medical identifiers for Evin Lackore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063862779	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	7646 (Nebraska)	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. Evin Lackore 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
Evin Lackore, MD 7045 S Harrison Hills Dr Apt 208, La Vista, NE 68128-7709 Ph: (402) 631-3689	Evin Lackore, MD Unmc Pediatrics Residency Program, 982185 Nebraska Medical Center, Omaha, NE 68198 Ph: (402) 559-5380

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Pediatrics Doctors in Omaha, NE

Dr. Amanda Marshall, Pediatrics Medicare: Medicare Enrolled Practice Location: 8200 Dodge St, Omaha, NE 68114 Phone: 402-955-2292
Makenzie Grant, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 983040 Nebraska Medical Ctr, Omaha, NE 68198 Phone: 402-559-8501
Dr. Karen D. Williams, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4224 S 50th St, Omaha, NE 68117 Phone: 402-733-3444 Fax: 402-731-0790
John D Kugler, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8200 Dodge St, Omaha, NE 68114 Phone: 402-955-4350 Fax: 402-955-4356
Margarita Dickey, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3353 L St, Omaha, NE 68107 Phone: 402-354-7700 Fax: 402-354-7710
Dr. Herbert Oladele Davies, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 988102 Nebraska Medical Ctr, Omaha, NE 68198 Phone: 402-559-2666 Fax: 402-559-2677
Dr. Cicero M. Calderon, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 16909 Q St, Omaha, NE 68135 Phone: 402-955-7575 Fax: 402-955-7555

Evin Lackore, MD - Medicare Pediatrics in Omaha, NE