Lacey D Moy (NPI# 1013144021, PAC ID# 7618138413) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1013144021 |
| PAC ID by PECOS | 7618138413 |
| Professional Enrollment ID | I20120420000378 |
| Full Name | Lacey D Moy |
| Organization Legal Name | OSF MULTI-SPECIALTY GROUP |
| Address |
1506 W Reynolds St Pontiac IL 61764-9674 |
| Phone Number | 8158446123 |
| Gender | F |
| Medical School | RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY |
| Graduation Year | 2009 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3678889789 |
| Number of Group Practice Members | 1214 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140161 | SAINT JAMES HOSPITAL |
| 140110 | OTTAWA REGIONAL HOSPITAL DBA OSF SAINT ELIZABETH MDL CTR |
| 140067 | OSF SAINT FRANCIS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1506 W Reynolds St, Pontiac, IL 61764-9674 | 8158446123 | OSF MULTI-SPECIALTY GROUP |
| Organization Legal Name | OSF MULTI-SPECIALTY GROUP |
| Physicians | 1301 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin R Moody | Physician Assistant | Osf Multi-specialty Group | 9951 Rock Cut Xing, Loves Park, IL 61111-1999 |
| Christina S Chen Milhone | Pediatric Medicine | Osf Multi-specialty Group | 2806 N Knoxville Ave, Peoria, IL 61604-2870 |
| Katelyn J Stites | Nurse Practitioner | Osf Multi-specialty Group | 106 S 1st St, Fairbury, IL 61739-1509 |
| Andrea M Shewalter | Nurse Practitioner | Osf Multi-specialty Group | 535 Roxbury Rd, Rockford, IL 61107-5076 |
| Kathleen M Hendricks | Nurse Practitioner | Osf Multi-specialty Group | 2809 W Willow Knolls Dr, Peoria, IL 61614-8517 |
| Carrie B Finley | Nurse Practitioner | Osf Multi-specialty Group | 1209 Starfire Dr, Suite 2, Ottawa, IL 61350-1688 |
| Laine E Burek | Nurse Practitioner | Osf Multi-specialty Group | 1765 Bradford Ln, Normal, IL 61761-1296 |
| James C Plasky | Nurse Practitioner | Osf Multi-specialty Group | 6830 Villagreen Vw, Rockford, IL 61107-5639 |
| Jubilee C Phan | Urology | Osf Multi-specialty Group | 1001 Main St, Suite 400, Peoria, IL 61606-2036 |
| Sara K Rosenbery | Nurse Practitioner | Osf Multi-specialty Group | 515 Neglen Oak Ave, Suite 202, Peoria, IL 61603 |
| Street Address |
1506 W REYNOLDS ST |
| City | PONTIAC |
| State | IL |
| Zip | 61764-9674 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas C Murphy | Family Medicine | Osf Multi-specialty Group | 1506 W Reynolds St, Pontiac, IL 61764-9674 |
| Calvin Moy | Family Medicine | Osf Multi-specialty Group | 1506 W Reynolds St, Pontiac, IL 61764-9674 |
| Patricia L Mortensen | Clinical Social Worker | Osf Multi-specialty Group | 1506 W Reynolds St, Pontiac, IL 61764-9674 |
| Crystal Cargill | Nurse Practitioner | Osf Multi-specialty Group | 1506 W Reynolds St, Pontiac, IL 61764-9674 |
| Sharon R Wissler | Nurse Practitioner | Osf Multi-specialty Group | 1506 W Reynolds St, Pontiac, IL 61764-9674 |
| Lisa M Watson | Nurse Practitioner | Osf Multi-specialty Group | 1506 W Reynolds St, Pontiac, IL 61764-9674 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda Bachman | Physical Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 924 W Custer Ave, Pontiac, IL 61764-1067 |
| Jordan Collins | Physical Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 924 W Custer Ave, Pontiac, IL 61764-1067 |
| Sasha Radford | Optometry | Pontiac Family Eye Care LLC | 320 N Ladd St, Pontiac, IL 61764-1612 |
| Bryan Stoller | Optometry | Pontiac Family Eye Care LLC | 320 N Ladd St, Pontiac, IL 61764-1612 |
| Janelle Joyce Brown | Optometry | Pontiac Family Eye Care LLC | 320 N Ladd St, Pontiac, IL 61764-1612 |
| Marcus S Deranian | Ophthalmology | Center for Sight of Central Illinois Sc | 608 W Ladd, Pontiac, IL 61764-1617 |
| Douglas R Watson | Optometry | 301 W Madison St, Pontiac, IL 61764-1705 | |
| Cheryle Diana Strother | Nurse Practitioner | 402 N Plum, Pontiac, IL 61764-1817 | |
| Kimberly K Kidner | Chiropractic | Livingston County Chiropractic Center, Ltd. | 402 N Plum St, Pontiac, IL 61764-1817 |
| Ashley N Fauser | Chiropractic | Livingston County Chiropractic Center, Ltd. | 402 N Plum St, Pontiac, IL 61764-1817 |
| Find all physicians in zip 61764 | |||
| City | PONTIAC |
| Zip Code | 61764 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PONTIAC + FAMILY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.