Lucas William Mattox, in Madison, TN - Medicare Nurse Anesthetist, Certified Registered

Lucas William Mattox, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Madison, Tennessee. His current practice location is 315 Hospital Dr, Madison, Tennessee. You can reach out to his office (for appointments etc.) via phone at (615) 732-7662.

Lucas William Mattox is licensed to practice in Texas (license number 1150844) 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 1306516794.

Contact Information

	Lucas William Mattox,
	315 Hospital Dr, Madison, TN 37115-5030
	(615) 732-7662
	Not Available

Map and Direction

Provider's Profile

Full Name	Lucas William Mattox
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	315 Hospital Dr, Madison, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306516794
Provider Enumeration Date: 09/16/2021
Last Update Date: 03/13/2024

Medicare PECOS Information:

PECOS PAC ID: 6305283219
Enrollment ID: I20240327000125

Medical Identifiers

Medical identifiers for Lucas William Mattox such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306516794	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	251418 (Tennessee)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	1150844 (Texas)	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. Lucas William Mattox allows following entities to bill medicare on his behalf.

Entity Name	Northstar Anesthesia Iii Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356968952 PECOS PAC ID: 0042630501 Enrollment ID: O20201022000080

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. Lucas William Mattox 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
Lucas William Mattox, 6001 Old Hickory Blvd Apt 323, Hermitage, TN 37076-3036 Ph: (423) 366-9689	Lucas William Mattox, 315 Hospital Dr, Madison, TN 37115-5030 Ph: (615) 732-7662

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Madison, TN

Steven L. Beaty, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1994 Gallatin Pike N, Suite 202, Madison, TN 37115 Phone: 615-851-0001 Fax: 615-851-0021
Henry Garcia, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 154 Cude Ln, Madison, TN 37115 Phone: 615-865-6268 Fax: 615-868-7378
Alexa Roche, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 315 Hospital Dr, Madison, TN 37115 Phone: 615-868-6503
William Fraser, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 154 Cude Ln, Madison, TN 37115 Phone: 615-865-6268 Fax: 615-868-7378
Troy Sasser, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 154 Cude Ln, Madison, TN 37115 Phone: 615-865-6268 Fax: 615-868-7378
Thomas Coghlan, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 154 Cude Ln, Madison, TN 37115 Phone: 615-865-6268 Fax: 615-868-7378
Alexander W Donesky, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 315 Hospital Dr, Madison, TN 37115 Phone: 615-868-6503

Lucas William Mattox, - Medicare Nurse Anesthetist, Certified Registered in Madison, TN