Dr. Katrena Lee Lacey
M.D. | Pediatrics | Female
Dr. Katrena Lee Lacey, M.D. is a Gretna, Nebraska based Pediatric doctor with medical specialization in
General Pediatrics. Dr. Katrena Lee Lacey is also known as
Katrena Lee Lacey.
Current practice location of Dr. Katrena Lee Lacey is
11946 Standing Stone Dr, Gretna, Nebraska - 68028-8094. She can be contacted on phone at
402-815-4500 and fax number 402-815-4510.
Dr. Katrena Lee Lacey is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Katrena Lee Lacey is
1174618730 which was assigned by NPPES on 03 Oct, 2006 and it was last updated on 02 Oct, 2015.
Dr. Katrena Lee Lacey license number is
23157 for Pediatrics (208000000X) in Nebraska.
Dr. Katrena Lee Lacey is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Katrena Lee Lacey basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Dr. Katrena Lee Lacey |
|---|
| Other Name : | Katrena Lee Lacey |
|---|
| Credential : | M.D. |
|---|
| Gender : | Female |
|---|
Business Address:
Dr. Katrena Lee Lacey address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 11946 Standing Stone Dr
Gretna, NE, 68028-8094
United States |
|---|
| Phone Number : | 402-815-4500 |
|---|
| Fax Number : | 402-815-4510 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1174618730 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 03 Oct, 2006 |
|---|
| Last Updated On : | 02 Oct, 2015 |
|---|
Medicare Participation:
Dr. Katrena Lee Lacey participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 8022119742 |
|---|
| Medicare Enrollment ID : | I20070725000512 |
|---|
| Primary Specialty : | Internal Medicine |
|---|
| Medical School : | University Of Nebraska College Of Medicine |
|---|
| Graduation Year : | 2001 |
|---|
| Accepts Medicare? | Yes. Dr. Katrena Lee Lacey accepts medicare insurance. |
|---|
Group Practice Association:
Dr. Katrena Lee Lacey is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Katrena Lee Lacey is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Physicians Clinic Inc | 4880506062 | 481 | 11946 Standing Stone Dr
Gretna, NE - 680288094
Ph: 4028154500 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Katrena Lee Lacey are as mentioned. Primary taxonomy code for Dr. Katrena Lee Lacey, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207R00000X | Internal Medicine | No | 23157 | NE |
| 208000000X | Pediatrics | Yes | 23157 | NE |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Katrena Lee Lacey such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 10026480100 | MEDICAID | NE | |
| 47068731741 | MEDICAID | NE | |
| 47068731706 | MEDICAID | NE | |
| 47068731734 | MEDICAID | NE | |
| 47068731749 | MEDICAID | NE | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 3755
Omaha, NE, 68103-0755
United States |
|---|
| Phone Number : | 402-354-2100 |
|---|
| Fax Number : | 402-354-2155 |
|---|
Business Location:
Patients can refer following map for directions to
Dr. Katrena Lee Lacey practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.