| Mrs Andrae C Lucas, MS CCCA | |
|
1218 S Pueblo Blvd, Pueblo, CO 81005-1593 | |
| (719) 542-1803 | |
| (719) 542-1807 |
| Full Name | Mrs Andrae C Lucas |
|---|---|
| Gender | Female |
| Speciality | Qualified Audiologist |
| Experience | 18 Years |
| Location | 1218 S Pueblo Blvd, Pueblo, Colorado |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760559561 | NPI | - | NPPES |
| 99073773 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | (NU) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Poudre Valley Medical Group Llc | 9638208549 | 2425 |
| Provider Name | Poudre Valley Medical Group LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1225356868 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Andrae C Lucas, MS CCCA 2695 Rocky Mountain Ave Ste 309, Loveland, CO 80538-8702 Ph: (970) 624-2403 | Mrs Andrae C Lucas, MS CCCA 1218 S Pueblo Blvd, Pueblo, CO 81005-1593 Ph: (719) 542-1803 |
Paige Ryan Smid, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 4776 Eagleridge Cir, Pueblo, CO 81008 Phone: 719-553-1000 |
Ms. Theodora J. Bronken, M.A., CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 215 E Orman Ave, Pueblo, CO 81004 Phone: 719-549-7693 |
Ruth M. Miller, MA Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1218 S Pueblo Blvd, Pueblo, CO 81005 Phone: 719-566-1277 Fax: 505-368-5502 |
Huh Inc Dba Pueblo Hearing Aid Services Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1000 W 6th St Ste H, Pueblo, CO 81003 Phone: 719-543-2116 Fax: 719-543-2216 |
Renee Hadad Cichon, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 3595 E Spaulding Ave Ste A, Pueblo, CO 81008 Phone: 719-544-3828 Fax: 719-544-3138 |
Pueblo Audiology Center Audiologist Medicare: Not Enrolled in Medicare Practice Location: 712 Fortino Blvd, Suite D, Pueblo, CO 81008 Phone: 719-542-1760 Fax: 719-542-5115 |
Mary Kay Witte, Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1471 29th Ln, Pueblo, CO 81006 Phone: 719-948-4609 |