| Jackie Alan Lucas, MD | |
|
1025 Morehead Medical Dr, Ste 450, Charlotte, NC 28204-2963 | |
| (704) 446-7800 | |
| Not Available |
| Full Name | Jackie Alan Lucas |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 1025 Morehead Medical Dr, Charlotte, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003846064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 27386 (North Carolina) | Primary |
| Entity Name | Eastover Obstetrics And Gynecology Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518982768 PECOS PAC ID: 2769444207 Enrollment ID: O20041115000416 |
| Entity Name | Premier Gynecology & Wellness, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720578313 PECOS PAC ID: 7618226465 Enrollment ID: O20180828001070 |
| Mailing Address | Practice Location Address |
|---|---|
| Jackie Alan Lucas, MD Po Box 19305, Charlotte, NC 28219-9305 Ph: () - | Jackie Alan Lucas, MD 1025 Morehead Medical Dr, Ste 450, Charlotte, NC 28204-2963 Ph: (704) 446-7800 |
Lynn Amy Boardman, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1350 S Kings Dr, Charlotte, NC 28207 Phone: 704-446-1544 | |
Dr. Simon Vivian Ward Iii, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1918 Randolph Rd, Suite 670, Charlotte, NC 28207 Phone: 704-384-1620 Fax: 704-384-1626 | |
Curtis Lee Flood, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1901 E 5th St, Charlotte, NC 28204 Phone: 980-367-4363 Fax: 704-384-1644 | |
Grant Blanchard, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1350 S Kings Dr, Charlotte, NC 28207 Phone: 704-446-1544 | |
Roland Pixley, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1025 Morehead Medical Dr, Ste 400, Charlotte, NC 28204 Phone: 704-446-1700 | |
Katherine Elizabeth Akeley, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4525 Cameron Valley Pkwy Ste 2500, Charlotte, NC 28211 Phone: 704-446-1700 |