| Mr Lucas John Speak, ARNP | |
|
5882 Kilkenny Mnr, Clarence Center, NY 14032 | |
| (954) 812-1265 | |
| Not Available |
| Full Name | Mr Lucas John Speak |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 5882 Kilkenny Mnr, Clarence Center, New York |
| 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 |
|---|---|---|---|
| 1750890919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 342293 (New York) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 3432293 (New York) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kaleida Health | Buffalo, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Roswell Park Cancer Institute | 3577475110 | 416 |
| General Physician Pc | 9537213079 | 450 |
| Entity Name | Roswell Park Cancer Institute |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720036593 PECOS PAC ID: 3577475110 Enrollment ID: O20031103000466 |
| Entity Name | Erie County Medical Center Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528233616 PECOS PAC ID: 1456308907 Enrollment ID: O20050715000538 |
| Entity Name | Buffalo Internist & Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134381031 PECOS PAC ID: 7416016951 Enrollment ID: O20081112000611 |
| Entity Name | General Physician Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093959322 PECOS PAC ID: 9537213079 Enrollment ID: O20090818000154 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Lucas John Speak, ARNP 5882 Kilkenny Mnr, Clarence Center, NY 14032-9430 Ph: (954) 812-1265 | Mr Lucas John Speak, ARNP 5882 Kilkenny Mnr, Clarence Center, NY 14032 Ph: (954) 812-1265 |
Mrs. Monica Behnaz Niku, FNP-C, APN, MSN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8967 Stonebriar Dr, Clarence Center, NY 14032 Phone: 716-472-1551 |