| John Fair Lucas Iii, MD | |
|
501 W Washington St, Greenwood, MS 38930-4237 | |
| (662) 453-4641 | |
| (662) 455-4731 |
| Full Name | John Fair Lucas Iii |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 45 Years |
| Location | 501 W Washington St, Greenwood, Mississippi |
| 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 |
|---|---|---|---|
| 1093734840 | NPI | - | NPPES |
| 00013434 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 09898 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Greenwood Leflore Hospital | Greenwood, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Greenwood Leflore Hospital | 8527238633 | 2 |
| Entity Name | Greenwood Leflore Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508145855 PECOS PAC ID: 8527238633 Enrollment ID: O20110829000459 |
| Mailing Address | Practice Location Address |
|---|---|
| John Fair Lucas Iii, MD 501 W Washington St, Greenwood, MS 38930-4237 Ph: (662) 453-4641 | John Fair Lucas Iii, MD 501 W Washington St, Greenwood, MS 38930-4237 Ph: (662) 453-4641 |
Douglas Edward Bowden, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 501 W Washington St, Greenwood, MS 38930 Phone: 662-453-4641 Fax: 662-455-4731 | |
Christopher Conrad Capel, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 501 W Washington St, Greenwood, MS 38930 Phone: 662-453-4641 | |
Dr. Alain Lesage Fondjo Domkam, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 302 8th St, Greenwood, MS 38930 Phone: 662-451-4570 Fax: 662-451-5140 |