MR. JON CHARLES LACY PA
NPI 1588907638
Physician Assistant - Medical in Los Angeles, CA

NPI Status: Active since March 27, 2013

Contact Information

6368 HOLLYWOOD BLVD
LOS ANGELES, CA
ZIP 90028
Phone: (323) 469-5555
Fax: (323) 466-0405

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  • Individual
  • Male
  • Years of Experience 15
  • Physician Assistant
  • Medical
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About JON LACY

This page provides the complete NPI Profile along with additional information for Jon Lacy, a primary care provider established in Los Angeles, California with a medical specialization in Physician Assistant, focusing in medical and more than 15 years of experience. The healthcare provider is registered in the NPI registry with number 1588907638 assigned on March 2013. The practitioner's primary taxonomy code is 363AM0700X with license number PA22770 (CA). The provider is registered as an individual and his NPI record was last updated 10 years ago.

NPI
1588907638
Provider Name
MR. JON CHARLES LACY PA
Gender
Male
Entity Type
Individual
Location Address
6368 HOLLYWOOD BLVD LOS ANGELES, CA 90028
Location Phone
(323) 469-5555
Location Fax
(323) 466-0405
Mailing Address
6368 HOLLYWOOD BLVD LOS ANGELES, CA 90028
Mailing Phone
(323) 469-5555
Mailing Fax
(323) 466-0405
Medical School Name
OTHER
Graduation Year
2012
Is Sole Proprietor?
No
Enumeration Date
03-27-2013
Last Update Date
09-21-2016
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A primary care provider (PCP) like Jon Lacy sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
PA22770
License State
CA

Medicare Participation & PECOS Enrollment Status

Jon Lacy is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Jon Lacy is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 5597901058

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20130429000527

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Other DME (DE017N)

    Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)

    13 DME suppliers used 31 Medicare Claims 90 Services Paid

  • DME-Medical/Surgical Supplies (DA000N)

    Lancets, per box of 100 (HCPCS:A4259)

    10 DME suppliers used 19 Medicare Claims 23 Services Paid

  • DME-Other DME (DE005N)

    Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) (HCPCS:E0466)

    1 DME suppliers used 12 Medicare Claims 12 Services Paid

  • DME-Other DME (DE017N)

    Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service (HCPCS:K0553)

    1 DME suppliers used 12 Medicare Claims 12 Services Paid

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1588907638, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
8
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
0
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
6
Unchanged
Pos 9
3
Doubled → 6
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 9 → 18 → 9 7 → 14 → 5 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 6 + 8 + 1 + 8 + 0 + 1 + 4 + 6 + 6 + 24 = 72

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 72 is 80. The difference is the calculated check digit.

80 - 72 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1588907638.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Family Medicine
6368 HOLLYWOOD BLVD
HOLLYWOOD, CA 90028
Nurse Practitioner (Family)
6368 HOLLYWOOD BLVD
HOLLYWOOD, CA 90028
Pharmacy (Community/Retail Pharmacy)
6368 HOLLYWOOD BLVD
LOS ANGELES, CA 90028
Psychologist (Clinical)
6368 HOLLYWOOD BLVD
HOLLYWOOD, CA 90028
Social Worker (Clinical)
6368 HOLLYWOOD BLVD
LOS ANGELES, CA 90028
Licensed Vocational Nurse
6368 HOLLYWOOD BLVD
HOLLYWOOD, CA 90028
Psychologist (Clinical)
6368 HOLLYWOOD BLVD
LOS ANGELES, CA 90028
Clinic/Center (Federally Qualified Health Center (FQHC))
6368 HOLLYWOOD BLVD
HOLLYWOOD, CA 90028

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588907638, enumerated as an "individual" on March 27, 2013.

The provider is located at 6368 HOLLYWOOD BLVD LOS ANGELES, CA 90028 and the phone number is (323) 469-5555.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.