Lacy Rebaka Tisdale, NP-C is a family nurse practitioner in Jackson, TN with 10 years of experience. Lacy Rebaka Tisdale, NP-C NPI is 1033517768. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
2054 S HIGHLAND AVE
JACKSON, TN
ZIP 38301-741
Phone: (731) 499-8708
Fax: (731) 499-8709
The NPI 1033517768 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
- Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
- X-ray of chest, 2 views (HCPCS:71046)
The enumeration date for this NPI number is 12/11/2014 and was last updated on 4/9/2021.