| Charles Luckey Dunn, MD | |
|
1720 Dunlawton Ave Ste 2, Port Orange, FL 32127-2916 | |
| (866) 400-3376 | |
| (386) 322-8370 |
| Full Name | Charles Luckey Dunn |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 11 Years |
| Location | 1720 Dunlawton Ave Ste 2, Port Orange, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477976082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | ME150625 (Florida) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | ME150625 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Deland | Deland, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Leavitt Medical Associates Of Florida Inc | 4688579311 | 174 |
| Entity Name | Leavitt Medical Associates Of Florida Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083872535 PECOS PAC ID: 4688579311 Enrollment ID: O20050228000737 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Luckey Dunn, MD 151 Southhall Ln Ste 300, Maitland, FL 32751-7172 Ph: (866) 400-3376 | Charles Luckey Dunn, MD 1720 Dunlawton Ave Ste 2, Port Orange, FL 32127-2916 Ph: (866) 400-3376 |
America Seach, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3951 S Nova Rd, Port Orange, FL 32127 Phone: 386-256-1444 | |
Miss Abbey Elisabeth Mcmurray, PA Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1720 Dunlawton Ave Ste 2, Port Orange, FL 32127 Phone: 386-322-8310 Fax: 386-322-8370 | |
Dr. Stephen W Eubanks, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1720 Dunlawton Ave Ste 2, Port Orange, FL 32127 Phone: 386-322-8310 Fax: 386-322-8370 |