Davon Lackie, - Medicare Nurse Practitioner in Searcy, AR

Davon Lackie, is a medicare enrolled "Nurse Practitioner - Acute Care" in Searcy, Arkansas. Her current practice location is 103 Woodlane Dr, Searcy, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 268-3733.

Davon Lackie is licensed to practice in Arkansas (license number A004220) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1063803567.

Contact Information

Davon Lackie,
103 Woodlane Dr,
Searcy, AR 72143-6113
(501) 268-3733
Not Available



Provider's Profile

Full NameDavon Lackie
GenderFemale
SpecialityNurse Practitioner - Acute Care
Location103 Woodlane Dr, Searcy, Arkansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063803567
  • Provider Enumeration Date: 02/05/2015
  • Last Update Date: 10/06/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7719206911
  • Enrollment ID: I20150511002018

Medical Identifiers

Medical identifiers for Davon Lackie such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063803567NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care A004220 (Arkansas)Primary

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. Davon Lackie allows following entities to bill medicare on her behalf.
Entity NameSt Vincent Infirmary Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316991847
PECOS PAC ID: 5698674166
Enrollment ID: O20040103000052

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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. Davon Lackie 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
Davon Lackie,
103 Woodlane Dr,
Searcy, AR 72143-6113

Ph: () -
Davon Lackie,
103 Woodlane Dr,
Searcy, AR 72143-6113

Ph: (501) 268-3733

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Nurse Practitioner Nurses in Searcy, AR

Elizabeth Thomason, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 610 Shepherd Dr, Searcy, AR 72143
Phone: 501-268-6831    
Ms. Brittany Lynn Allen, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2900 Hawkins Dr, Searcy, AR 72143
Phone: 501-278-2800    
Mrs. Patricia Pierce, APN
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 400 S Main St Ste 100, Searcy, AR 72143
Phone: 501-279-9000    
Melinda Lou Snider, RNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 112 Brantley Rd, Searcy, AR 72143
Phone: 501-268-6102    Fax: 501-268-4445
Nikki Michelle Taylor, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 103 Woodlane Dr, Searcy, AR 72143
Phone: 501-268-3733    Fax: 501-207-6139
Joseph Foley, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 610 Shepherd Dr, Searcy, AR 72143
Phone: 501-268-6831    Fax: 201-279-2402

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