Alex Lucas, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Oak Lawn, Illinois. His current practice location is
4440 W 95th St, Oak Lawn, Illinois. You can reach out to his office (for appointments etc.) via phone at
(708) 684-5375.
Alex Lucas is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1679223861.
Physician's Profile
| Full Name | Alex Lucas |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 4440 W 95th St, Oak Lawn, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1679223861
- Provider Enumeration Date: 03/28/2022
- Last Update Date: 07/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 2062932346
- Enrollment ID: I20250218001703
Medical Identifiers
Medical identifiers for Alex Lucas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1679223861 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208D00000X | General Practice | 036.170841 (Illinois) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Alex Lucas allows following entities to bill medicare on his behalf.
| Entity Name | Carle Health Care Incorporated |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154653947
PECOS PAC ID: 3577515774
Enrollment ID: O20100513000829 |
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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. Alex Lucas is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Alex Lucas,
4440 W 95th St,
Oak Lawn, IL 60453-2600
Ph: (708) 684-5375 | Alex Lucas,
4440 W 95th St,
Oak Lawn, IL 60453-2600
Ph: (708) 684-5375 |
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