| Dr Tatiana O Lucas, DDS | |
|
272 Cross Roads Plz, Mount Pleasant, PA 15666 | |
| (724) 547-0690 | |
| (724) 547-1918 |
| Full Name | Dr Tatiana O Lucas |
|---|---|
| Gender | Female |
| Speciality | Dentist |
| Location | 272 Cross Roads Plz, Mount Pleasant, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114473576 | NPI | - | NPPES |
| 1032153500002 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | WV4232 (West Virginia) | Secondary |
| 122300000X | Dentist | DS041087 (Pennsylvania) | Primary |
| Entity Name | Dr. Tatiana Lucas, Dds Family Dentistry, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467976878 PECOS PAC ID: 5890058580 Enrollment ID: O20180411000246 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tatiana O Lucas, DDS 272 Cross Roads Plz, Mount Pleasant, PA 15666-2288 Ph: (724) 547-0690 | Dr Tatiana O Lucas, DDS 272 Cross Roads Plz, Mount Pleasant, PA 15666 Ph: (724) 547-0690 |
Matthew Samuel Sack, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 130 Cross Roads Plz, Mount Pleasant, PA 15666 Phone: 724-542-7177 | |
Jinlu Zhou, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 220 Bessemer Rd Ste 301, Mount Pleasant, PA 15666 Phone: 724-990-3380 | |
Beatriz De La Roche, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 6583 Route 819 S, Suite 1, Mount Pleasant, PA 15666 Phone: 724-542-4818 Fax: 724-542-4828 |