Dr Jerry Lee Lugger, MD is a
Plastic Surgery physician based in Euless, Texas. Dr Jerry Lee Lugger is licensed to practice in Texas (license number G2762) and his current practice location is 461 Westpark Way, Euless, Texas. He can be reached at his office (for appointments etc.) via phone at
(817) 540-1755.
NPI number for Dr Jerry Lee Lugger is 1700814647 and his current mailing address is 3061 W Southlake Blvd, Ste 130, Southlake, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1700814647.
Physician's Profile
| Full Name | Dr Jerry Lee Lugger |
|---|
| Gender | Male |
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| Speciality | Plastic Surgery |
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| Location | 461 Westpark Way, Euless, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1700814647
- Provider Enumeration Date: 06/29/2006
- Last Update Date: 02/02/2017
Medical Identifiers
Medical identifiers for Dr Jerry Lee Lugger such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700814647 | NPI | - | NPPES |
| P0007P724 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208200000X | Plastic Surgery | G2762 (Texas) | Primary |
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. Dr Jerry Lee Lugger is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jerry Lee Lugger, MD
3061 W Southlake Blvd, Ste 130,
Southlake, TX 76092-0314
Ph: (817) 540-1755 | Dr Jerry Lee Lugger, MD
461 Westpark Way,
Euless, TX 76040-3957
Ph: (817) 540-1755 |
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