| Dr Peter B Lucas, MD | |
|
10191 Ne Beach Crest Dr, Bainbridge Island, WA 98110-1368 | |
| (206) 713-8713 | |
| (066) 738-2612 |
| Full Name | Dr Peter B Lucas |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 10191 Ne Beach Crest Dr, Bainbridge Island, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811052897 | NPI | - | NPPES |
| 8196461 | Medicaid | WA | |
| 00031243 | Other | WA | MEDICAL LICENSE |
| G50158 | Other | CA | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD00031243 (Washington) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | G50158 (California) | Secondary |
| Entity Name | Franciscan Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093165334 PECOS PAC ID: 0547173866 Enrollment ID: O20031111000789 |
| Entity Name | Hln Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073899191 PECOS PAC ID: 1052746559 Enrollment ID: O20201019000793 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Peter B Lucas, MD 10191 Ne Beach Crest Dr, Bainbridge Is, WA 98110-1368 Ph: (206) 713-8713 | Dr Peter B Lucas, MD 10191 Ne Beach Crest Dr, Bainbridge Island, WA 98110-1368 Ph: (206) 713-8713 |
Dr. Kathryn Margaret Rahn, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 793 Ericksen Ave Ne, Suite 123, Bainbridge Island, WA 98110 Phone: 206-855-8890 Fax: 206-855-8864 | |
Bridget Russell Carnahan, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 159 Wyatt Way Ne, Bainbridge Island, WA 98110 Phone: 206-596-0974 | |
Dr. Ellen Violet Michael, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 345 Knechtel Way Ne, Ste. 102, Bainbridge Island, WA 98110 Phone: 206-780-6779 Fax: 206-780-7923 |