| Heather Nicole Lukusa, DNP | |
|
685 Morro Ave Ste C, Morro Bay, CA 93442-2233 | |
| (805) 772-7313 | |
| (805) 346-3625 |
| Full Name | Heather Nicole Lukusa |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 685 Morro Ave Ste C, Morro Bay, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609180033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 26NJ00298400 (New Jersey) | Secondary |
| 363L00000X | Nurse Practitioner | 95029301 (California) | Primary |
| Entity Name | Pacific Central Coast Health Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063496651 PECOS PAC ID: 9739091364 Enrollment ID: O20031103000443 |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Nicole Lukusa, DNP 685 Morro Ave Ste C, Morro Bay, CA 93442-2233 Ph: (805) 772-7313 | Heather Nicole Lukusa, DNP 685 Morro Ave Ste C, Morro Bay, CA 93442-2233 Ph: (805) 772-7313 |
Mr. Lucien C. Morin, MSN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2626 Maple Ave, Morro Bay, CA 93442 Phone: 805-440-7708 | |
Ms. Annie-claude Sanchis, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 685 Morro Ave, Suite C, Morro Bay, CA 93442 Phone: 805-772-7317 Fax: 805-772-0395 | |
Saskia Wright, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 685 Morro Ave Ste C, Morro Bay, CA 93442 Phone: 805-772-7313 Fax: 805-772-0395 | |
Ms. Mary Ellen Ehman, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1405 Teresa Drive, Morro Bay, CA 93442 Phone: 805-772-2237 Fax: 805-772-2536 | |
Mrs. Adela Cristina Thom, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 685 Morro Ave Ste C, Morro Bay, CA 93442 Phone: 805-772-7313 Fax: 805-772-0395 | |
Natalia Donici, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 940 Morro Bay Blvd, Morro Bay, CA 93442 Phone: 707-816-6710 | |
Krishna Patel, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2216 Coral Ave, Morro Bay, CA 93442 Phone: 386-366-0023 |