Michael Louis Lucchesi, is a medicare enrolled "Physician Assistant - Medical" in Lake Tapps, Washington. His current practice location is
3219 170th Ave E, Lake Tapps, Washington. You can reach out to his office (for appointments etc.) via phone at
(253) 363-6207.
Michael Louis Lucchesi is licensed to practice in Florida (license number 9115677) 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 1073194320.
Provider's Profile
| Full Name | Michael Louis Lucchesi |
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| Gender | Male |
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| Speciality | Physician Assistant - Medical |
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| Location | 3219 170th Ave E, Lake Tapps, Washington |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1073194320
- Provider Enumeration Date: 04/19/2021
- Last Update Date: 02/18/2022
Medicare PECOS Information:
- PECOS PAC ID: 5799170411
- Enrollment ID: I20220316001671
Medical Identifiers
Medical identifiers for Michael Louis Lucchesi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1073194320 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363AM0700X | Physician Assistant - Medical | 9115677 (Florida) | 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. Michael Louis Lucchesi allows following entities to bill medicare on his behalf.
| Entity Name | Fl-i Medical Services LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750655106 PECOS PAC ID: 9133381809 Enrollment ID: O20120426000191 |
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| Entity Name | Emergency Medicine Services of FL LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043917180 PECOS PAC ID: 8426413931 Enrollment ID: O20230504001881 |
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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. Michael Louis Lucchesi 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 |
Michael Louis Lucchesi, 3219 170th Ave E, Lake Tapps, WA 98391-5530 Ph: Not Available | Michael Louis Lucchesi, 3219 170th Ave E, Lake Tapps, WA 98391-5530 Ph: (253) 363-6207 |
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