Summer Elizabeth Lackey, PA - Medicare Physician Assistant in Statesville, NC

Summer Elizabeth Lackey, PA is a medicare enrolled "Physician Assistant" in Statesville, North Carolina. Her current practice location is 705 Gaither Rd, Statesville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 871-1155.

Summer Elizabeth Lackey is licensed to practice in North Carolina (license number 0010-12966) 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 1003514456.

Contact Information

Summer Elizabeth Lackey, PA
705 Gaither Rd,
Statesville, NC 28625-3450
(704) 871-1155
(704) 872-2484



Provider's Profile

Full NameSummer Elizabeth Lackey
GenderFemale
SpecialityPhysician Assistant
Location705 Gaither Rd, Statesville, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003514456
  • Provider Enumeration Date: 02/15/2023
  • Last Update Date: 03/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4789059593
  • Enrollment ID: I20230410001658

Medical Identifiers

Medical identifiers for Summer Elizabeth Lackey such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003514456NPI-NPPES
0010-12966OtherNCNCMB LICENSE NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 0010-12966 (North Carolina)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. Summer Elizabeth 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
Summer Elizabeth Lackey, PA
Po Box 1845,
Statesville, NC 28687-1845

Ph: (704) 873-4277
Summer Elizabeth Lackey, PA
705 Gaither Rd,
Statesville, NC 28625-3450

Ph: (704) 871-1155

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Physician Assistant Nurses in Statesville, NC

Ms. Bridgette Ann Cooke, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 340 Signal Hill Dr Ste C, Statesville, NC 28625
Phone: 704-871-8999    
Mrs. Allyson M. Savery, PA-C, M.S.
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 276 Old Mocksville Rd, Suite 100, Statesville, NC 28625
Phone: 704-883-8660    Fax: 704-883-8661
Bethany E Skaggs, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 619 Sullivan Rd, Statesville, NC 28677
Phone: 704-924-9111    
Jill Suzanne Calhoun, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 738 Bryant St Ste A, Statesville, NC 28677
Phone: 704-873-1189    Fax: 704-873-1116
Mr. Shawn M O'keefe, PA-C
Physician Assistant
Medicare: May Accept Medicare Assignments
Practice Location: 1414 Fern Creek Dr, Statesville, NC 28625
Phone: 704-873-6065    
Ms. Kacie Miller Teeter, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 310 Davie Ave, Statesville Family Practice, Statesville, NC 28677
Phone: 704-873-3269    Fax: 704-871-8159

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