| Dr Lisa R Luckey, DO | |
|
13644 Walsingham Rd, Largo, FL 33774-3532 | |
| (727) 595-2519 | |
| (727) 631-0916 |
| Full Name | Dr Lisa R Luckey |
|---|---|
| Gender | Female |
| Speciality | Gastroenterology |
| Experience | 18 Years |
| Location | 13644 Walsingham Rd, Largo, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508008772 | NPI | - | NPPES |
| 2013366 | Other | FL | COVENTRY |
| 21924002 | Other | FL | WELLMED |
| 5799464 | Other | FL | CIGNA |
| 119460600 | Medicaid | FL | |
| 21924001 | Other | FL | WELLMED |
| 232988 | Other | FL | UNIVERSAL |
| 9269370 | Other | FL | AETNA |
| 342337 | Other | FL | AVMED |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | OS10452 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Morton Plant Hospital | Clearwater, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Suncoast Internal Medicine Consultants, P.a | 4981679677 | 6 |
| Baycare Medical Group, Inc. | 6406753623 | 1356 |
| Entity Name | Baycare Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043269871 PECOS PAC ID: 6406753623 Enrollment ID: O20031216000718 |
| Entity Name | Suncoast Internal Medicine Consultants, P.a |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710031984 PECOS PAC ID: 4981679677 Enrollment ID: O20040826001095 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lisa R Luckey, DO 13644 Walsingham Rd, Largo, FL 33774-3532 Ph: (727) 595-2519 | Dr Lisa R Luckey, DO 13644 Walsingham Rd, Largo, FL 33774-3532 Ph: (727) 595-2519 |
Dr. Julie Bard Fogarty, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 8787 Bryan Dairy Rd Ste 320, Largo, FL 33777 Phone: 727-394-5650 Fax: 813-635-7939 | |
Dr. James F. Rivenbark, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 1301 2nd Ave Sw, Largo, FL 33770 Phone: 727-584-7706 Fax: 727-586-6018 | |
Randal G Worth, DO Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 13644 Walsingham Rd, Largo, FL 33774 Phone: 727-595-2519 Fax: 727-595-3872 | |
Dr. Rubaiya Mallay, D.O. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 13644 Walsingham Road, Largo, FL 33774 Phone: 727-595-2519 Fax: 727-595-3872 | |
Suhail Kayyali, Gastroenterology Medicare: May Accept Medicare Assignments Practice Location: 201 14th St Sw, Largo, FL 33770 Phone: 305-303-0317 | |
Tatjana Webster, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 901 Clearwater-largo Rd N, Largo, FL 33770 Phone: 727-584-4533 Fax: 727-581-7386 | |
Andi Canhasi, Gastroenterology Medicare: Medicare Enrolled Practice Location: 201 14th St Sw, Largo, FL 33770 Phone: 727-588-5704 Fax: 727-585-7205 |