Jeffrey S Lackey, MD - Medicare Diagnostic Radiology in Conway, SC

Jeffrey S Lackey, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Conway, South Carolina. He went to Medical University Of South Carolina College Of Medicine and graduated in 1993 and has 31 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Carolina Radiology Associates Llc and his current practice location is 300 Singleton Ridge Rd, Conway, South Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 238-8660.

Jeffrey S Lackey is licensed to practice in South Carolina (license number 21294) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1184600587.

Contact Information

Jeffrey S Lackey, MD
300 Singleton Ridge Rd,
Conway, SC 29526-9142
(843) 238-8660
Not Available



Physician's Profile

Full NameJeffrey S Lackey
GenderMale
SpecialityDiagnostic Radiology
Experience31 Years
Location300 Singleton Ridge Rd, Conway, South Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jeffrey S Lackey attended and graduated from Medical University Of South Carolina College Of Medicine in 1993
  NPI Data:
  • NPI Number: 1184600587
  • Provider Enumeration Date: 12/16/2005
  • Last Update Date: 08/08/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 8426075011
  • Enrollment ID: I20051102000451

Medical Identifiers

Medical identifiers for Jeffrey S Lackey such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184600587NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 21294 (South Carolina)Primary
2085R0204XRadiology - Vascular & Interventional Radiology 21294 (South Carolina)Secondary
2085B0100XRadiology - Body Imaging 21294 (South Carolina)Secondary
2085D0003XRadiology - Diagnostic Neuroimaging 21294 (South Carolina)Secondary
2085U0001XRadiology - Diagnostic Ultrasound 21294 (South Carolina)Secondary
2085N0700XRadiology - Neuroradiology 21294 (South Carolina)Secondary
2085N0904XRadiology - Nuclear Radiology 21294 (South Carolina)Secondary
2085P0229XRadiology - Pediatric Radiology 21294 (South Carolina)Secondary
2085R0001XRadiology - Radiation Oncology 21294 (South Carolina)Secondary
2085R0205XRadiology - Radiological Physics 21294 (South Carolina)Secondary
2085R0203XRadiology - Therapeutic Radiology 21294 (South Carolina)Secondary
207U00000XNuclear Medicine 21294 (South Carolina)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Grand Strand Regional Medical CenterMyrtle beach, SCHospital
Mcleod Loris HospitalLoris, SCHospital
Conway Medical CenterConway, SCHospital
Musc Health Marion Medical CenterMullins, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Carolina Radiology Associates Llc165835076453

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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. Jeffrey S Lackey allows following entities to bill medicare on his behalf.
Entity NameCarolina Radiology Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225014657
PECOS PAC ID: 1658350764
Enrollment ID: O20040714000287

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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. Jeffrey S Lackey 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 AddressPractice Location Address
Jeffrey S Lackey, MD
Po Box 51030,
Myrtle Beach, SC 29579-0018

Ph: (843) 238-8660
Jeffrey S Lackey, MD
300 Singleton Ridge Rd,
Conway, SC 29526-9142

Ph: (843) 238-8660

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Radiology Doctors in Conway, SC

Paul M Kuperman, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 300 Singleton Ridge Rd, Conway, SC 29526
Phone: 843-238-8660    
Elizabeth A Kelley, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 300 Singleton Ridge Rd, Conway, SC 29526
Phone: 843-238-8660    
Billie Ed Shelley Jr., MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 300 Singleton Ridge Rd, Conway, SC 29526
Phone: 843-238-8660    
Michael H Brown, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 300 Singleton Ridge Rd, Conway, SC 29526
Phone: 843-238-8660    
Richard J Wunder, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 300 Singleton Ridge Rd, Conway, SC 29526
Phone: 843-238-8660    
John J Daly Jr., MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 300 Singleton Ridge Rd, Conway, SC 29526
Phone: 843-238-8660    

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