| Mr Mark Mathew Lucero, PA-C | |
|
1000 36th St, Vero Beach, FL 32960-4862 | |
| (772) 567-4311 | |
| Not Available |
| Full Name | Mr Mark Mathew Lucero |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 23 Years |
| Location | 1000 36th St, Vero Beach, Florida |
| 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 |
|---|---|---|---|
| 1730154790 | NPI | - | NPPES |
| P00253782 | Other | FL | RR MEDICARE |
| X1617 | Other | FL | BLUE CROSS |
| 291673800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | PA9102527 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ies Florida Pllc | 8921485004 | 45 |
| Entity Name | Inphynet Contracting Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073556767 PECOS PAC ID: 7416865811 Enrollment ID: O20031105000125 |
| Entity Name | Inphynet South Broward LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871521880 PECOS PAC ID: 4587563960 Enrollment ID: O20040108000083 |
| Entity Name | Cape Coral Emergency Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376611962 PECOS PAC ID: 1557465325 Enrollment ID: O20070404000086 |
| Entity Name | Inpatient Medical Services, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528480894 PECOS PAC ID: 3173755204 Enrollment ID: O20140403001984 |
| Entity Name | Small Hospital Innovations LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184040560 PECOS PAC ID: 0840415444 Enrollment ID: O20140715000513 |
| Entity Name | Shi Keys LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952903536 PECOS PAC ID: 2163835513 Enrollment ID: O20210105000345 |
| Entity Name | Ies Florida PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124788716 PECOS PAC ID: 8921485004 Enrollment ID: O20220510002828 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mark Mathew Lucero, PA-C Po Box 644102, Vero Beach, FL 32964-4102 Ph: (772) 562-3254 | Mr Mark Mathew Lucero, PA-C 1000 36th St, Vero Beach, FL 32960-4862 Ph: (772) 567-4311 |
Mr. Robert Matthew Tack, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 36th St, Vero Beach, FL 32960 Phone: 772-567-4311 |
Mr. Craig Joseph Romero, PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: 1000 36th St, Vero Beach, FL 32960 Phone: 772-567-4311 Fax: 772-563-4706 |
Mr. Kevin John Ziegler, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3730 7th Ter Ste 101, Vero Beach, FL 32960 Phone: 772-567-2332 Fax: 844-812-2806 |
Jenny Ngan Nguyen, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 36th St, Vero Beach, FL 32960 Phone: 772-567-4311 |
Kyle Anthony Franzone, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 36th St, Vero Beach, FL 32960 Phone: 772-567-4311 |
Laura Leigh Walsh, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1880 37th St, Suite 4, Vero Beach, FL 32960 Phone: 772-778-1400 Fax: 772-778-4626 |
Kristen J Landt, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1000 36th St, Emergency Department, Vero Beach, FL 32960 Phone: 772-567-4311 Fax: 904-346-0113 |