Katrena L Lacey (NPI# 1174618730, PAC ID# 8022119742) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1174618730 |
| PAC ID by PECOS | 8022119742 |
| Professional Enrollment ID | I20070725000512 |
| Full Name | Katrena L Lacey |
| Organization Legal Name | PHYSICIANS CLINIC INC |
| Address |
11946 Standing Stone Dr Gretna NE 68028-8094 |
| Phone Number | 4028154500 |
| Gender | F |
| Medical School | UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 4880506062 |
| Number of Group Practice Members | 376 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 280040 | THE NEBRASKA METHODIST HOSPITAL |
| 280013 | THE NEBRASKA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 11946 Standing Stone Dr, Gretna, NE 68028-8094 | 4028154500 | PHYSICIANS CLINIC INC |
| Organization Legal Name | PHYSICIANS CLINIC INC |
| Physicians | 386 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Klug | Internal Medicine | Physicians Clinic Inc | 16120 W Dodge Rd, Omaha, NE 68118-2049 |
| Jami Jo Dowell | Nurse Practitioner | Physicians Clinic Inc | 1400 Senate Ave, 105 Methodist Physicians Clinic Red Oak, Red Oak, IA 51566-1271 |
| Stephen Tetrault | Family Medicine | Physicians Clinic Inc | 17675 Welch Plz, Omaha, NE 68135-3453 |
| Maureen A Boyle-manganaro | Obstetrics/gynecology | Physicians Clinic Inc | 320 Ebaugh St, Methodist Physicians Clinic Glenwood, Glenwood, IA 51534-1811 |
| Stephanie R Revord | Nurse Practitioner | Physicians Clinic Inc | 3353 L St, Omaha, NE 68107-2500 |
| Umasankari Sundaram | Endocrinology | Physicians Clinic Inc | 7831 Chicago Ct, Omaha, NE 68114-3654 |
| Karen T Bagniewski | Nurse Practitioner | Physicians Clinic Inc | 10710 Fort St, Omaha, NE 68134-1204 |
| Angela R Vogel | Nurse Practitioner | Physicians Clinic Inc | 933 E Pierce St, Methodist Jennie Edmundson, Council Bluffs, IA 51503-4626 |
| Jennifer D Stone | Family Medicine | Physicians Clinic Inc | 1001 Risen Son Blvd, Council Bluffs, IA 51503-1910 |
| Anand R Deshmukh | Cardiovascular Disease (cardiology) | Physicians Clinic Inc | 1120 N 103rd Plaza, Omaha, NE 68114-1119 |
| Street Address |
11946 STANDING STONE DR |
| City | GRETNA |
| State | NE |
| Zip | 68028-8094 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John J Franklin | Family Medicine | Physicians Clinic Inc | 11946 Standing Stone Dr, Gretna, NE 68028-8094 |
| Andrea N Ward | Nurse Practitioner | Physicians Clinic Inc | 11946 Standing Stone Dr, Gretna, NE 68028-8094 |
| Brian William Cronstrom | Nurse Practitioner | Physicians Clinic Inc | 11946 Standing Stone Dr, Gretna, NE 68028-8094 |
| Bridget A Frazer | Physician Assistant | Physicians Clinic Inc | 11946 Standing Stone Dr, Gretna, NE 68028-8094 |
| Michelle R Christensen | Physician Assistant | Physicians Clinic Inc | 11946 Standing Stone Dr, Gretna, NE 68028-8094 |
| Lexi R Toft | Nurse Practitioner | Physicians Clinic Inc | 11946 Standing Stone Dr, Gretna, NE 68028-8094 |
| Laura L Anderson | Nurse Practitioner | Physicians Clinic Inc | 11946 Standing Stone Dr, Gretna, NE 68028-8094 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carmella N Imig | Family Medicine | Alegent Creighton Clinic | 102 W Gruenther Rd, Gretna, NE 68028-4828 |
| Rina Kojima Rousek | Nurse Practitioner | Alegent Creighton Clinic | 102 W Gruenther Rd, Gretna, NE 68028-4828 |
| Constance Bridges | Nurse Practitioner | Alegent Creighton Clinic | 102 W Gruenther Rd, Gretna, NE 68028-4828 |
| Brad Alan Meylor | Chiropractic | 11532 Willow Park Dr, Suite 300, Gretna, NE 68028-6954 | |
| Bradley J Carpenter | Optometry | Tiburon Family Eyecare, PC | 11314 Wickersham Blvd, Suite 300, Gretna, NE 68028-6989 |
| Emily K Harrington | Qualified Speech Language Pathologist | Family Physical Therapy and Sports Center | 913 Village Sq, Gretna, NE 68028-7853 |
| Rachel R Weakland | Qualified Speech Language Pathologist | Family Physical Therapy and Sports Center | 913 Village Sq, Gretna, NE 68028-7853 |
| Carrie A Wilson | Physical Therapy | Family Physical Therapy and Sports Center | 913 Village Sq, Gretna, NE 68028-7853 |
| Caroline T Anderson | Occupational Therapy | Family Physical Therapy and Sports Center | 820 Village Sq, Gretna, NE 68028-7914 |
| Bradley David Stauffer | Chiropractic | 826 Village Sq, Gretna, NE 68028-7914 | |
| Find all physicians in zip 68028 | |||
| City | GRETNA |
| Zip Code | 68028 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | GRETNA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Katrena L Lacey.
| 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.