Peyton Leigh Lucero, is a medicare enrolled "Nurse Practitioner - Family" in Pembroke, Kentucky. She graduated from nursing school in 2026 and has 0 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ultra Health Llc and her current practice location is
124 W Nashville St, Pembroke, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(731) 394-1145.
Peyton Leigh Lucero is licensed to practice in Kentucky (license number 4059054) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1942150156.
Provider's Profile
| Full Name | Peyton Leigh Lucero |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Location | 124 W Nashville St, Pembroke, Kentucky |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Peyton Leigh Lucero graduated from nursing school in 2026
NPI Data:
- NPI Number: 1942150156
- Provider Enumeration Date: 01/29/2026
- Last Update Date: 06/09/2026
Medicare PECOS Information:
- PECOS PAC ID: 1355813320
- Enrollment ID: I20260611000618
Medical Identifiers
Medical identifiers for Peyton Leigh Lucero such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942150156 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 2024020656 (Missouri) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 4059054 (Kentucky) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Ultra Health Llc | 6800186602 | 151 |
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. Peyton Leigh Lucero allows following entities to bill medicare on her behalf.
| Entity Name | Ultra Health LLC |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1922469543
PECOS PAC ID: 6800186602
Enrollment ID: O20181109001113 |
|---|
| Entity Name | Ultra Health Providers III LLC |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1366307696
PECOS PAC ID: 2668952052
Enrollment ID: O20260217003187 |
|---|
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. Peyton Leigh Lucero 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 |
|---|
Peyton Leigh Lucero,
Po Box 269084, Dept 1102,
Oklahoma City, OK 73126-9084
Ph: Not Available | Peyton Leigh Lucero,
124 W Nashville St,
Pembroke, KY 42266-9763
Ph: (731) 394-1145 |
Reviews and Comments