| Nicole K Luetke, DO | |
|
721 Skippack Pike, Suite 3, Blue Bell, PA 19422-1700 | |
| (215) 793-0600 | |
| (215) 793-0759 |
| Full Name | Nicole K Luetke |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 24 Years |
| Location | 721 Skippack Pike, Blue Bell, Pennsylvania |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598719932 | NPI | - | NPPES |
| 1012761050001 | Medicaid | PA | |
| 2402357000 | Other | PA | IBC - PC/KHPE |
| 11555034 | Other | PA | CAQH ID# |
| 2402357000 | Other | PA | AMERIHEALTH/INTERCOUNTY |
| 30025600 | Other | PA | KEYSTONE MERCY |
| 5855528 | Other | PA | CIGNA HMO/PPO |
| 7722728 | Other | PA | AETNA PPO |
| 1735036 | Other | PA | HIGHMARK BLUE SHIELD |
| 1132437 | Other | PA | AETNA HMO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS012680 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jefferson Health Home Care And Hospice | Willow grove, PA | Home health agency |
| Einstein Medical Center Montgomery | East norriton, PA | Hospital |
| Grand View Hospital | Sellersville, PA | Hospital |
| Hospital Of Univ Of Pennsylvania | Philadelphia, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lmg Family Practice Pc | 1759286172 | 10 |
| Entity Name | Lmg Family Practice Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114971553 PECOS PAC ID: 1759286172 Enrollment ID: O20031126000683 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole K Luetke, DO Po Box 789967, Philadelphia, PA 19178-9967 Ph: (484) 622-7395 | Nicole K Luetke, DO 721 Skippack Pike, Suite 3, Blue Bell, PA 19422-1700 Ph: (215) 793-0600 |
Dr. Debra Vermette, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1787 Sentry Pkwy W Bldg 16, Suite 400, Blue Bell, PA 19422 Phone: 215-542-3000 Fax: 215-542-3070 | |
Dr. George David Vermeire, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 930 Harvest Dr, Ms Ub1n, Blue Bell, PA 19422 Phone: 215-775-5123 Fax: 215-775-5140 | |
Michele Metree Meredith, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 721 Skippack Pike Ste 3, Blue Bell, PA 19422 Phone: 484-622-6700 | |
Dr. Jennifer Anne Lorine, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 725 Skippack Pike, Blue Bell, PA 19422 Phone: 610-613-5042 | |
Dr. William Callahan, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 721 Arbor Way Ste 105, Blue Bell, PA 19422 Phone: 215-646-9220 Fax: 215-646-0715 | |
David C. Peet Jr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 721 Skippack Pike, Suite 3, Blue Bell, PA 19422 Phone: 215-793-0600 Fax: 215-793-0759 | |
Dr. Nancy S Czarnecki, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 920b Harvest Dr, 1st Floor, Blue Bell, PA 19422 Phone: 215-775-5435 Fax: 215-775-5440 |