Axel Lucca, in Springfield, VA - Medicare Physician Assistant

Axel Lucca, is a medicare enrolled "Physician Assistant" in Springfield, Virginia. His current practice location is 6230 Rolling Rd Ste J, Springfield, Virginia. You can reach out to his office (for appointments etc.) via phone at (571) 889-3235.

Axel Lucca is licensed to practice in Virginia (license number 0110005033) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1124498944.

Contact Information

	Axel Lucca,
	6230 Rolling Rd Ste J, Springfield, VA 22152-2326
	(571) 889-3235
	(571) 889-3236

Map and Direction

Provider's Profile

Full Name	Axel Lucca
Gender	Male
Speciality	Physician Assistant
Location	6230 Rolling Rd Ste J, Springfield, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124498944
Provider Enumeration Date: 10/06/2015
Last Update Date: 08/03/2023

Medicare PECOS Information:

PECOS PAC ID: 0446542369
Enrollment ID: I20160713000114

Medical Identifiers

Medical identifiers for Axel Lucca such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124498944	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	0110005033 (Virginia)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Axel Lucca allows following entities to bill medicare on his behalf.

Entity Name	Kaveh Parvaresh, M.d., P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053567719 PECOS PAC ID: 1153483136 Enrollment ID: O20081230000087

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Axel Lucca is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Axel Lucca, 6230 Rolling Rd Ste J, Springfield, VA 22152-2326 Ph: (571) 889-3235	Axel Lucca, 6230 Rolling Rd Ste J, Springfield, VA 22152-2326 Ph: (571) 889-3235

Reviews and Comments

Physician Assistant Nurses in Springfield, VA

Michael R Ellwood, MS, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6030 Selwood Pl, Springfield, VA 22152 Phone: 703-569-1451
James Tanney-palmeter, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6320 Rolling Road, J, Springfield, VA 22152 Phone: 571-889-3235 Fax: 571-889-3236
Veronica Acker, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5808 Atteentee Rd, Springfield, VA 22150 Phone: 703-447-5240
Simisola Awofodu, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6230 Rolling Rd Ste J, Springfield, VA 22152 Phone: 571-889-3235 Fax: 571-889-3236
Audrey Elizabeth Keen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5510 Alma Ln, Springfield, VA 22151 Phone: 703-642-5990
Gina Mai, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 6907 Villa Del Rey Ct, Springfield, VA 22150 Phone: 703-901-5852

Axel Lucca, - Medicare Physician Assistant in Springfield, VA