Dr Lucky Lusterio, DO in Jbsa Lackland, TX

Dr Lucky Lusterio, DO is a medicare enrolled "General Practice" physician in Jbsa Lackland, Texas. His current practice location is 1100 Wilford Hall Loop, Jbsa Lackland, Texas. You can reach out to his office (for appointments etc.) via phone at (210) 292-3536.

Dr Lucky Lusterio is licensed to practice in Indiana (license number 02004069A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1609149681.

Contact Information

	Dr Lucky Lusterio, DO
	1100 Wilford Hall Loop, Jbsa Lackland, TX 78236-5638
	(210) 292-3536
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Lucky Lusterio
Gender	Male
Speciality	General Practice
Location	1100 Wilford Hall Loop, Jbsa Lackland, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609149681
Provider Enumeration Date: 02/21/2012
Last Update Date: 10/10/2025

Medicare PECOS Information:

PECOS PAC ID: 5395981740
Enrollment ID: I20241216001955

Medical Identifiers

Medical identifiers for Dr Lucky Lusterio such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609149681	NPI	-	NPPES
02004069A	Other	IN	MEDICAL LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2083A0100X	Preventive Medicine - Aerospace Medicine	02004069A (Indiana)	Secondary
208D00000X	General Practice	02004069A (Indiana)	Primary

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 Lucky Lusterio allows following entities to bill medicare on his behalf.

Entity Name	American Current Care Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275651002 PECOS PAC ID: 9739260019 Enrollment ID: O20080131000349

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 Lucky Lusterio 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 Lucky Lusterio, DO 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236-5638 Ph: (210) 292-3536	Dr Lucky Lusterio, DO 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236-5638 Ph: (210) 292-3536

Reviews and Comments

General Practice Doctors in Jbsa Lackland, TX

Dr. Diane Fernandes, DO General Practice Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-5350
Brian Patrick Staak, MD General Practice Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-916-8666 Fax: 210-916-8712
Adam Joseph Jadick, LCSW General Practice Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop Bldg 455459, Jbsa Lackland, TX 78236 Phone: 210-292-5972
Dr. Joseph Santamaria, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-6030
Henry Danchi, General Practice Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-7805 Fax: 210-292-7868
Collin Thomas Clay, MD General Practice Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-3327 Fax: 210-292-7868
Sarah Woodside, MD General Practice Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-5350

Dr Lucky Lusterio, DO - Medicare General Practice in Jbsa Lackland, TX