| Tracie Lynn Restieri Lucas, DC | |
|
18467 Nw Us Highway 441 Ste 80, High Springs, FL 32643-8795 | |
| (201) 956-3772 | |
| Not Available |
| Full Name | Tracie Lynn Restieri Lucas |
|---|---|
| Gender | Female |
| Speciality | Chiropractor |
| Location | 18467 Nw Us Highway 441 Ste 80, High Springs, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750336616 | NPI | - | NPPES |
| HG654Z | Other | FL | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 38MC00640900 (New Jersey) | Secondary |
| 111N00000X | Chiropractor | CH10855 (Florida) | Primary |
| Provider Name | Lucas Chiropractic Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1114605664 PECOS PAC ID: 2961865035 Enrollment ID: O20230823001648 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracie Lynn Restieri Lucas, DC 18467 Nw Us Highway 441 Ste 80, High Springs, FL 32643-8795 Ph: (201) 956-3772 | Tracie Lynn Restieri Lucas, DC 18467 Nw Us Highway 441 Ste 80, High Springs, FL 32643-8795 Ph: (201) 956-3772 |
Lucas Chiropractic Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 18467 Nw Us Highway 441 Ste 80, High Springs, FL 32643 Phone: 201-956-3772 | |
Dr. Lawrence Thomas Restieri, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 18245 Nw Us Highway 441, High Springs, FL 32643 Phone: 386-454-3941 Fax: 386-454-4066 | |
Jpa Management Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 18245 Nw Us Highway 441, High Springs, FL 32643 Phone: 386-454-0410 | |
Dr. Erika Danielle Equizi, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 17241 Nw 239th Ter, High Springs, FL 32643 Phone: 352-871-1962 | |
Dr. Jack P Agliata, CHIROPRACTOR Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 105 Ne 1st Avenue, High Springs, FL 32643 Phone: 386-454-4055 Fax: 386-454-9836 | |
Restieri Healthcare Services, Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 18245 Nw Us Highway 441, High Springs, FL 32643 Phone: 386-454-3941 Fax: 386-454-4066 |