Mrs Lacie Dillon, PA-C in Cookeville, TN - Medicare Physician Assistant

Mrs Lacie Dillon, PA-C is a medicare enrolled "Physician Assistant - Medical" in Cookeville, Tennessee. Her current practice location is 103 W Main St Ste C, Cookeville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (931) 218-6463.

Mrs Lacie Dillon is licensed to practice in Tennessee (license number 2514) 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 1083033195.

Contact Information

	Mrs Lacie Dillon, PA-C
	103 W Main St Ste C, Cookeville, TN 38506-2310
	(931) 218-6463
	Not Available

Provider's Profile

Full Name	Mrs Lacie Dillon
Gender	Female
Speciality	Physician Assistant - Medical
Location	103 W Main St Ste C, Cookeville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083033195
Provider Enumeration Date: 04/16/2014
Last Update Date: 05/01/2023

Medicare PECOS Information:

PECOS PAC ID: 6305069311
Enrollment ID: I20140520001877

Medical Identifiers

Medical identifiers for Mrs Lacie Dillon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083033195	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	2514 (Tennessee)	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. Mrs Lacie Dillon 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
Mrs Lacie Dillon, PA-C 2691 Lacie Dr, Cookeville, TN 38506-5078 Ph: (931) 265-4248	Mrs Lacie Dillon, PA-C 103 W Main St Ste C, Cookeville, TN 38506-2310 Ph: (931) 218-6463

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Physician Assistant Nurses in Cookeville, TN

Cheryl A Cunningham, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 228 W 4th St Ste 200, Cookeville, TN 38501 Phone: 931-372-0405
Pamela Shelton Dobbs, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 145 W 4th St Ste 201, Cookeville, TN 38501 Phone: 931-783-2143
Caitlin Locke, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 340 N Cedar Ave, Cookeville, TN 38501 Phone: 931-783-5353 Fax: 931-783-4994
James M Vance, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 350 S Lowe Ave, Suite A, Cookeville, TN 38501 Phone: 931-526-1050 Fax: 931-526-8163
Molly Kate Campbell, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 406 N Whitney Ave Ste 5, Cookeville, TN 38501 Phone: 931-783-4269
Lexie Nicolette Gabbard, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 165 Maple Valley Ln, Cookeville, TN 38506 Phone: 931-265-9815

Mrs Lacie Dillon, PA-C - Medicare Physician Assistant in Cookeville, TN