| Richard E Lucky, CRNA | |
|
126 Hospital Ave, Ozark, AL 36360-2018 | |
| (334) 793-8087 | |
| (334) 793-8191 |
| Full Name | Richard E Lucky |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 18 Years |
| Location | 126 Hospital Ave, Ozark, Alabama |
| 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 |
|---|---|---|---|
| 1952573545 | NPI | - | NPPES |
| 51044800 | Other | AL | BCBS OF AL |
| 1952573545 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 1-084888 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hca Florida Fort Walton-destin Hospital | Fort walton beach, FL | Hospital |
| Flowers Hospital | Dothan, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Flowers Hb Medical Services Llc | 6305290990 | 139 |
| Anesthesia Physician Solutions Of North Florida Llc | 5597066001 | 280 |
| Entity Name | Dale Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538275342 PECOS PAC ID: 3476466327 Enrollment ID: O20031107000202 |
| Entity Name | The Health Care Authority of the City of Eufaula |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730692641 PECOS PAC ID: 9335407659 Enrollment ID: O20180619000582 |
| Entity Name | Flowers HB Medical Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972283828 PECOS PAC ID: 6305290990 Enrollment ID: O20231002000205 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard E Lucky, CRNA Po Box 863, Ozark, AL 36361-0863 Ph: (334) 793-8087 | Richard E Lucky, CRNA 126 Hospital Ave, Ozark, AL 36360-2018 Ph: (334) 793-8087 |
Trey S Burg, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 126 Hospital Ave, Ozark, AL 36360 Phone: 334-793-8087 Fax: 334-793-8191 |