| Michael Edward Lutz, MD | |
|
4465 Baymeadows Rd, Suite 5, Jacksonville, FL 32217 | |
| (904) 737-0111 | |
| (904) 737-4422 |
| Full Name | Michael Edward Lutz |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 34 Years |
| Location | 4465 Baymeadows Rd, Jacksonville, Florida |
| 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 |
|---|---|---|---|
| 1982740775 | NPI | - | NPPES |
| 42484 | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | ME74101 (Florida) | Primary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | ME74101 (Florida) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Suncoast Skin Solutions | 7416018221 | 87 |
| Entity Name | Jacksonville Skin Cancer Center, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780861781 PECOS PAC ID: 4183600307 Enrollment ID: O20040628001424 |
| Entity Name | Suncoast Skin Solutions |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487827416 PECOS PAC ID: 7416018221 Enrollment ID: O20081211000112 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Edward Lutz, MD 18228 N Us Highway 41, Lutz, FL 33549-4400 Ph: (813) 321-1786 | Michael Edward Lutz, MD 4465 Baymeadows Rd, Suite 5, Jacksonville, FL 32217 Ph: (904) 737-0111 |
John Paul Kartsonis, MD Dermatology Medicare: Medicare Enrolled Practice Location: 7711 Baymeadows Rd E Ste 6, Jacksonville, FL 32256 Phone: 904-731-1770 Fax: 904-996-8300 | |
Dr. Pearl Chu Kwong, MD PHD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 10175 Fortune Pkwy Unit 1203, Jacksonville, FL 32256 Phone: 904-519-5292 Fax: 904-519-5296 | |
Jeremy Kenneth Bray, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Dr. Donald Paul Lookingbill, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Tamara Brainard, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2800 Child Street, Jacksonville, FL 32214 Phone: 904-542-7912 | |
Angelia Lenae Stepien, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 6817 Southpoint Pkwy Ste 101, Jacksonville, FL 32216 Phone: 904-430-7372 | |
Matthew Hall, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |