| Lucas Raymond King, | |
|
525 Doyle Park Dr Ste 101, Santa Rosa, CA 95405-4562 | |
| (707) 525-6620 | |
| (707) 522-1279 |
| Full Name | Lucas Raymond King |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 15 Years |
| Location | 525 Doyle Park Dr Ste 101, Santa Rosa, California |
| 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 |
|---|---|---|---|
| 1114216421 | NPI | - | NPPES |
| 9000148102 | Medicaid | CO |
| Facility Name | Location | Facility Type |
|---|---|---|
| St. Joseph Home Care - Greater Sonoma County | Santa rosa, CA | Home health agency |
| Santa Rosa Memorial Hospital | Santa rosa, CA | Hospital |
| Petaluma Valley Hospital | Petaluma, CA | Hospital |
| Healdsburg District Hospital | Healdsburg, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Medical Foundation | 8921993205 | 1329 |
| Entity Name | Providence Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
| Mailing Address | Practice Location Address |
|---|---|
| Lucas Raymond King, 525 Doyle Park Dr Ste 101, Santa Rosa, CA 95405-4562 Ph: (707) 525-6620 | Lucas Raymond King, 525 Doyle Park Dr Ste 101, Santa Rosa, CA 95405-4562 Ph: (707) 525-6620 |
Raymond Severt, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1144 Sonoma Ave, Suite 121, Santa Rosa, CA 95405 Phone: 707-978-4322 Fax: 707-538-2519 | |
Dr. Peter Bernard Albert Pappas, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 76 Brookwood Ave, Santa Rosa, CA 95404 Phone: 707-523-2381 Fax: 707-523-2677 | |
Christian Nabil Athanassious, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1405 Montgomery Dr, Santa Rosa, CA 95405 Phone: 707-546-1922 Fax: 707-546-1897 | |
Jacob Zipperstein, MD Orthopedic Surgery Medicare: May Accept Medicare Assignments Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-393-4080 | |
Dr. Thomas C Degenhardt, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1405 Montgomery Dr, Santa Rosa, CA 95405 Phone: 707-546-1922 Fax: 707-546-1987 | |
Dr. Roger A Klein, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1111 Sonoma Ave, Suite 106, Santa Rosa, CA 95405 Phone: 707-576-0366 Fax: 707-576-0468 | |
Dr. Mark E. Schakel Ii, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1405 Montgomery Dr, Santa Rosa, CA 95405 Phone: 707-546-1922 Fax: 707-546-1897 |