MRS. REBECCA RED LACKS M.D.
NPI 1689013971
Obstetrics & Gynecology in Grand Rapids, MI
About Mrs. Rebecca Red Lacks M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. REBECCA RED LACKS M.D. (NPI 1689013971) is an individual obstetrics & gynecology provider in Grand Rapids, Michigan, licensed in Michigan (4301103209) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2013).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Rebecca Red Lacks M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Rebecca Lacks's NPI number?
The NPI number for Rebecca Lacks is 1689013971. It was assigned to this individual provider in the NPPES registry on June 19, 2013. The provider is also known as Miss Rebecca Terry Red M.D..
Where is Rebecca Lacks located?
Rebecca Lacks practices at 330 Barclay Ave NE Suite 102, Grand Rapids, MI 49503. The listed phone number is (616) 391-2160.
What is Rebecca Lacks's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Rebecca Lacks enrolled in Medicare?
Yes. Rebecca Lacks is registered in the Medicare PECOS enrollment system.
What insurance does Rebecca Lacks accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Rebecca Lacks as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Rebecca Lacks was last updated on December 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Rebecca Red Lacks, M.D. · NPI 1689013971
Obstetrics & Gynecology physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since June 19, 2013.
## Identity
- **NPI:** 1689013971 (Entity type: Individual)
- **Enumerated:** June 19, 2013
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 4301103209 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 330 BARCLAY AVE NE, SUITE 102, Grand Rapids, MI 49503-2556
- **Phone:** (616) 391-2160
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
- **Medical school:** University Of Tennessee, Hsc, College Of Medicine, class of 2013
## Record status
- **NPPES last updated:** December 30, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1689013971) · Data from the CMS NPPES public registry.