Mr Kelly W Lucas, DDS is a
Dentist based in Naknek, Alaska. Mr Kelly W Lucas is licensed to practice in Alaska (license number AA673) and his current practice location is
2 School House Rd, Naknek, Alaska. He can be reached at his office (for appointments etc.) via phone at
(907) 357-5214.
NPI number for Mr Kelly W Lucas is 1023239902 and his current mailing address is 3161 E Palmer-wasilla Hwy, Regan Bldg Su 5, Wasilla, Alaska. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1023239902.
Healthcare Provider's Profile
| Full Name | Mr Kelly W Lucas |
|---|
| Gender | Male |
|---|
| Speciality | Dentist |
|---|
| Location | 2 School House Rd, Naknek, Alaska |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1023239902
- Provider Enumeration Date: 05/01/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Kelly W Lucas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023239902 | NPI | - | NPPES |
| DD0673 | Medicaid | AK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | AA673 (Alaska) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Kelly W Lucas is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Kelly W Lucas, DDS
3161 E Palmer-wasilla Hwy, Regan Bldg Su 5,
Wasilla, AK 99654-7271
Ph: (907) 357-5214 | Mr Kelly W Lucas, DDS
2 School House Rd,
Naknek, AK 99633
Ph: (907) 357-5214 |
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