Carrie Kelley Lucas, FNP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Central Point, Oregon. She graduated from medical school in 2023 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Providence Health And Services Oregon and her current practice location is
870 S Front St Ste 200, Central Point, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 732-8000.
Carrie Kelley Lucas is licensed to practice in Oregon (license number 10022149) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1760259402.
Physician's Profile
| Full Name | Carrie Kelley Lucas |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 2 Years |
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| Location | 870 S Front St Ste 200, Central Point, Oregon |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Carrie Kelley Lucas graduated from medical school in 2023
NPI Data:
- NPI Number: 1760259402
- Provider Enumeration Date: 12/04/2023
- Last Update Date: 04/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 3971940222
- Enrollment ID: I20240321002359
Medical Identifiers
Medical identifiers for Carrie Kelley Lucas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1760259402 | NPI | - | NPPES |
| 500832248 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | F11230401 (Utah) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 10022149 (Oregon) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Providence Health And Services Oregon | 5294623245 | 158 |
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. Carrie Kelley Lucas allows following entities to bill medicare on her behalf.
| Entity Name | Providence Health & Services - Oregon |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093976243 PECOS PAC ID: 3476450560 Enrollment ID: O20031217000186 |
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| Entity Name | Providence Health & Services Oregon |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568547503 PECOS PAC ID: 5294623245 Enrollment ID: O20040310000315 |
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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. Carrie Kelley 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 |
Carrie Kelley Lucas, FNP-C Po Box 3158, Portland, OR 97208-3158 Ph: () - | Carrie Kelley Lucas, FNP-C 870 S Front St Ste 200, Central Point, OR 97502-2779 Ph: (541) 732-8000 |
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