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LACY MANUELITO MD
NPI 1750844155
Pediatrics in Sacaton, AZ

Active since April 11, 2019PECOS Enrolled
483 W SEED FARM RD, SACATON, AZ 85147(602) 528-1200(602) 528-1255 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lacy Manuelito Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LACY MANUELITO MD (NPI 1750844155) is an individual pediatrics provider in Sacaton, Arizona, licensed in Arizona (65759) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750844155
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameLACY MANUELITOCredential: MD
Location Address483 W SEED FARM RDSacaton, AZ 85147-5000
Mailing AddressPo Box 38Sacaton, AZ 85147-0001 · (602) 528-1200 · Fax (602) 528-1255
Phone(602) 528-1200
Fax(602) 528-1255
Sole ProprietorNo
Enumeration DateApril 11, 2019
Last NPPES UpdateSeptember 30, 2025
NPPES CertifiedSeptember 30, 2025
✔ NPI 1750844155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in AZ · 65759
Definition
A pediatrician 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.
483 W SEED FARM RD, Sacaton, AZ 85147
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lacy Manuelito Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Lacy Manuelito reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gila River Health Care Corporation
Same address
Critical Access
483 W. SEED FARM RD.
Sacaton, AZ 85147
  • Reassigned Medicare billing, Texas enrollment
  • 482 clinicians in this Medicare group
NPI 1225023179 (602) 528-1200
Schuk Toak District Office
66 mi
Public Health or Welfare
HWY 86, MILEPOST 127
San Isidro, AZ 85634
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Ton Sells Hospital
  • 349 clinicians in this Medicare group
NPI 1124101779 (520) 295-2503
Ton San Xavier Health Center
79 mi
Public Health, Federal
7900 S J STOCK RD
Tucson, AZ 85746
  • Reassigned Medicare billing, Texas enrollment
  • 286 clinicians in this Medicare group
NPI 1437157302 (520) 547-8140
Ton San Simon Health Center
80 mi
Health Service
HIGHWAY 86, MILEPOST 84
Sells, AZ 85634
  • Reassigned Medicare billing, Texas enrollment
  • 268 clinicians in this Medicare group
NPI 1588834998 (520) 362-7007
Ton Santa Rosa Health Center
80 mi
Public Health, Federal
FEDERAL ROUTE 15, MILEPOST 12
Sells, AZ 85634
  • Reassigned Medicare billing, Texas enrollment
  • 94 clinicians in this Medicare group
NPI 1770581639 (520) 361-2403

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85147 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DEVI SEPPERUMAL
Dietitian, Registered
483 W SEED FARM RD
SACATON, AZ 85147
Pinal County (602) 528-1200
AUNDRIA THOMPSON LAC
Counselor
483 W SEED FARM RD
SACATON, AZ 85147
Pinal County (602) 528-7100
CLAUDIA WARD
Counselor
483 W SEED FARM RD
SACATON, AZ 85147
Pinal County (602) 271-7942
BENJAMIN LEVI THUESEN PA-C
Physician Assistant
483 W SEED FARM RD
SACATON, AZ 85147
Pinal County (520) 562-3321
WHITNEY MCGINN PT, DPT, MSCS
Physical Therapist
483 W SEED FARM RD
SACATON, AZ 85147
Pinal County (602) 528-1200
BROOKE LEE BILLINGS FNP-C
Nurse Practitioner (Family)
483 W SEED FARM RD
SACATON, AZ 85147
Pinal County (602) 528-1200
COLLEEN MARIE AUSTIN LMSW
Social Worker (Clinical)
483 W SEED FARM RD
SACATON, AZ 85147
Pinal County (602) 528-7131
TRACY NGUYEN
Optometrist
483 W SEED FARM RD
SACATON, AZ 85147
Pinal County (602) 271-7960

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 Lacy Manuelito's NPI number?

The NPI number for Lacy Manuelito is 1750844155. It was assigned to this individual provider in the NPPES registry on April 11, 2019.

Where is Lacy Manuelito located?

Lacy Manuelito practices at 483 W Seed Farm Rd, Sacaton, AZ 85147. The listed phone number is (602) 528-1200.

What is Lacy Manuelito's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Lacy Manuelito enrolled in Medicare?

Yes. Lacy Manuelito is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lacy Manuelito's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lacy Manuelito reassigns Medicare benefits to 5 organizations: Gila River Health Care Corporation (Sacaton, AZ), Schuk Toak District Office (San Isidro, AZ), Ton San Xavier Health Center (Tucson, AZ), Ton San Simon Health Center (Sells, AZ) and Ton Santa Rosa Health Center (Sells, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lacy Manuelito's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lacy Manuelito accept?

Health plans from Blue Cross Blue Shield of Arizona list Lacy Manuelito 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 Lacy Manuelito was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.