| Dr Eddy Lucas, MD | |
| 3600 E Harry St, Wichita, KS 67218-3713 | |
| (913) 642-4900 | |
| (913) 381-0979 | 
| Full Name | Dr Eddy Lucas | 
|---|---|
| Gender | Male | 
| Speciality | Radiology - Diagnostic Radiology | 
| Location | 3600 E Harry St, Wichita, Kansas | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1205832698 | NPI | - | NPPES | 
| 1205832698 | Medicaid | MO | |
| 100197900A | Medicaid | OK | |
| P00628030 | Other | KS | RR MEDICARE | 
| 100313220H | Medicaid | KS | 
| Entity Name | Kansas Imaging Consultants Pa | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1841267663 PECOS PAC ID: 8921082041 Enrollment ID: O20040616000680 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Eddy Lucas, MD 3600 E Harry St, Wichita, KS 67218-3713 Ph: (316) 689-5050 | Dr Eddy Lucas, MD 3600 E Harry St, Wichita, KS 67218-3713 Ph: (913) 642-4900 | 
| Dr. Larry C Graham Ii, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3600 E Harry St, Wichita, KS 67218 Phone: 316-689-5050 Fax: 316-689-6192 | |
| Tim Edward Stone,  Radiology Medicare: Medicare Enrolled Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-293-2665 | |
| Dr. Donald C S Tan, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 817 N Emporia St, Via Christi Cancer Center, Wichita, KS 67214 Phone: 316-268-5927 | |
| Dr. Joshua Dale Buchtel, MD Radiology Medicare: Medicare Enrolled Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-293-2699 | |
| Elizabeth Perez-elmore, RN BSN Radiology Medicare: Not Enrolled in Medicare Practice Location: 5500 E Kellogg Dr, Wichita, KS 67218 Phone: 316-685-2221 | |
| Mike Lam, DO Radiology Medicare: Medicare Enrolled Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-293-2635 | |
| Dr. Timothy C Benning, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3600 E Harry St, Wichita, KS 67218 Phone: 316-689-6173 |