Dr Kenneth Grant Lucero, MD in Blythe, CA

Dr Kenneth Grant Lucero, MD is a medicare enrolled "Family Medicine" physician in Blythe, California. He went to University Of California, Geffen School Of Medicine and graduated in 1985 and has 39 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Clinicas De Salud Del Pueblo Inc and his current practice location is 321 W Hobsonway Ste C, Blythe, California. You can reach out to his office (for appointments etc.) via phone at (760) 922-4981.

Dr Kenneth Grant Lucero is licensed to practice in California (license number G60508) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1417079989.

Contact Information

	Dr Kenneth Grant Lucero, MD
	321 W Hobsonway Ste C, Blythe, CA 92225-1651
	(760) 922-4981
	(760) 922-4442

Map and Direction

Physician's Profile

Full Name	Dr Kenneth Grant Lucero
Gender	Male
Speciality	Family Practice
Experience	39 Years
Location	321 W Hobsonway Ste C, Blythe, California
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Kenneth Grant Lucero attended and graduated from University Of California, Geffen School Of Medicine in 1985

NPI Data:

NPI Number: 1417079989
Provider Enumeration Date: 04/04/2007
Last Update Date: 02/17/2023

Medicare PECOS Information:

PECOS PAC ID: 7113947060
Enrollment ID: I20070605000594

Medical Identifiers

Medical identifiers for Dr Kenneth Grant Lucero such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417079989	NPI	-	NPPES
00G605082	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	G60508 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Helping Hands Home Health Services	Blythe, CA	Home health agency
Palo Verde Hospital	Blythe, CA	Hospital
Desert Regional Medical Center	Palm springs, CA	Hospital
Blythe Post Acute Llc	Blythe, CA	Nursing home

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. Dr Kenneth Grant Lucero allows following entities to bill medicare on his behalf.

Entity Name	Clinicas De Salud Del Pueblo Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346313889 PECOS PAC ID: 5496657082 Enrollment ID: O20071201000158

Entity Name	Desert View Medical
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023394285 PECOS PAC ID: 4880847573 Enrollment ID: O20130108000045

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 Kenneth Grant Lucero 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
Dr Kenneth Grant Lucero, MD 141 W Hobsonway Ste B, Blythe, CA 92225-1616 Ph: (760) 574-7787	Dr Kenneth Grant Lucero, MD 321 W Hobsonway Ste C, Blythe, CA 92225-1651 Ph: (760) 922-4981

Reviews and Comments

Family Medicine Doctors in Blythe, CA

David Brooks, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 176 S Palm Dr, Blythe, CA 92225 Phone: 760-922-1020 Fax: 760-922-1050
Emmanuel R Mofu, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 495 North Main Street, Blythe, CA 92225 Phone: 760-922-3141
Leon Peter Y Chua, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 N Broadway, Suite 17, Blythe, CA 92225 Phone: 760-922-2152 Fax: 760-922-2292
Nickolas Lloyd Lind, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 322 W Hobsonway, Blythe, CA 92225 Phone: 909-382-7100
Leonel L Rodriguez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 N 1st St Ste C, Blythe, CA 92225 Phone: 760-922-8330 Fax: 760-922-8320

Dr Kenneth Grant Lucero, MD - Medicare Family Practice in Blythe, CA