| Dr Lucas Alfonso Bracero, MD, MBA | |
|
400 Court St Ste 100, Charleston, WV 25301-1652 | |
| (304) 347-6120 | |
| (304) 347-6120 |
| Full Name | Dr Lucas Alfonso Bracero |
|---|---|
| Gender | Male |
| Speciality | Pain Management |
| Experience | 8 Years |
| Location | 400 Court St Ste 100, Charleston, West Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699270991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208VP0000X | Pain Medicine - Pain Medicine | 32685 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Charleston Area Medical Center | Charleston, WV | Hospital |
| Boone Memorial Hospital | Madison, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Boone Memorial Hospital Inc | 3375433352 | 43 |
| Charleston Area Medical Center Inc | 3375441637 | 859 |
| Entity Name | Charleston Area Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124248752 PECOS PAC ID: 3375441637 Enrollment ID: O20031223000426 |
| Entity Name | Boone Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285686725 PECOS PAC ID: 3375433352 Enrollment ID: O20051111000050 |
| Entity Name | Boone Memorial Hospital Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1639135221 PECOS PAC ID: 3375433352 Enrollment ID: O20061104000273 |
| Entity Name | Ths Physician Partners Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871866806 PECOS PAC ID: 9537316393 Enrollment ID: O20120829000738 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lucas Alfonso Bracero, MD, MBA 400 Court St Ste 100, Charleston, WV 25301-1652 Ph: (304) 347-6120 | Dr Lucas Alfonso Bracero, MD, MBA 400 Court St Ste 100, Charleston, WV 25301-1652 Ph: (304) 347-6120 |
Anuj A Shah, DO Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 400 Court St Ste 100, Charleston, WV 25301 Phone: 304-347-6120 | |
Josiah Kenneth Lilly Iii, MD MS Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 4001 Virginia Ave Se, Charleston, WV 25304 Phone: 304-925-2922 Fax: 304-926-8009 |