Ekachai Lucktong, MD in Charlotte, NC - Medicare Emergency Medicine

Ekachai Lucktong, MD is a medicare enrolled "Emergency Medicine - Emergency Medical Services" physician in Charlotte, North Carolina. His current practice location is 3101 Latrobe Dr, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 376-7362.

Ekachai Lucktong is licensed to practice in North Carolina (license number 200000880) 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 1801829379.

Contact Information

	Ekachai Lucktong, MD
	3101 Latrobe Dr, Charlotte, NC 28211-4849
	(704) 376-7362
	Not Available

Map and Direction

Physician's Profile

Full Name	Ekachai Lucktong
Gender	Male
Speciality	Emergency Medicine - Emergency Medical Services
Location	3101 Latrobe Dr, Charlotte, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801829379
Provider Enumeration Date: 07/08/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 0648312827
Enrollment ID: I20100126000873

Medical Identifiers

Medical identifiers for Ekachai Lucktong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801829379	NPI	-	NPPES
89127A5	Medicaid	NC
N00880	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207PE0004X	Emergency Medicine - Emergency Medical Services	200000880 (North Carolina)	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. Ekachai Lucktong allows following entities to bill medicare on his behalf.

Entity Name	Nc Emergency Physician Services Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518374800 PECOS PAC ID: 5890916514 Enrollment ID: O20141022001802

Entity Name	Dispatchhealth Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932714284 PECOS PAC ID: 2961815295 Enrollment ID: O20210106000821

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. Ekachai Lucktong 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
Ekachai Lucktong, MD 3101 Latrobe Dr, Charlotte, NC 28211-4849 Ph: (704) 376-7362	Ekachai Lucktong, MD 3101 Latrobe Dr, Charlotte, NC 28211-4849 Ph: (704) 376-7362

Reviews and Comments

Emergency Medicine Doctors in Charlotte, NC

Chelsea Kolshak, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-3658
Nicole Hadley, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 136 E 36t St Suite 200, Charlotte, NC 28206 Phone: 704-801-3400
Neha Ray, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-3181 Fax: 704-355-7047
Dr. Hannah Elizabeth Corral, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-3658
John B Clark Jr., M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1900 Randolph Rd, Ste 900, Charlotte, NC 28207 Phone: 704-377-2424 Fax: 704-377-2687
Kevin Hale Black, DDS, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2000
Nilesh K. Patel, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2171

Ekachai Lucktong, MD - Medicare Emergency Medicine in Charlotte, NC