| Thomas John Luckey, MD | |
|
8700 Sudley Rd, Manassas, VA 20110-4418 | |
| (703) 369-8337 | |
| Not Available |
| Full Name | Thomas John Luckey |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 20 Years |
| Location | 8700 Sudley Rd, Manassas, Virginia |
| 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 |
|---|---|---|---|
| 1003949330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 0101243613 (Virginia) | Primary |
| 207P00000X | Emergency Medicine | MD436552 (Pennsylvania) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jefferson Medical Center | Ranson, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jefferson Memorial Hospital | 0446151989 | 28 |
| Entity Name | Jefferson Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891722377 PECOS PAC ID: 0446151989 Enrollment ID: O20040116000736 |
| Entity Name | Jmh Emergency Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730482449 PECOS PAC ID: 8022299759 Enrollment ID: O20110228000929 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas John Luckey, MD 20010 Century Blvd, Ste 200, Germantown, MD 20874-1115 Ph: (240) 686-2300 | Thomas John Luckey, MD 8700 Sudley Rd, Manassas, VA 20110-4418 Ph: (703) 369-8337 |
Eric John Ahlers, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8700 Sudley Rd, Manassas, VA 20110 Phone: 703-369-8000 | |
James R Rosenthal, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8700 Sudley Rd, Prince William Hospital, Manassas, VA 20110 Phone: 703-369-8337 Fax: 703-369-8868 | |
Frank L Nuar, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8700 Sudley Road, Prince William Hospital, Manassas, VA 20110 Phone: 703-369-8337 Fax: 703-369-8868 | |
Dr. Alexander Tiesi, M.D Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8700 Sudley Rd, Manassas, VA 20110 Phone: 703-369-8000 | |
Stephen M Smith, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8700 Sudley Rd, Manassas, VA 20110 Phone: 240-686-2300 | |
Joseph A Zurlo, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 8700 Sudley Rd, Prince William Hospital, Manassas, VA 20110 Phone: 703-369-8337 Fax: 703-369-8868 |