| Mr Thomas David Lukacsa, PA-C | |
|
110 Health Park Blvd, Saint Augustine, FL 32086-5776 | |
| (904) 823-3401 | |
| (904) 829-8649 |
| Full Name | Mr Thomas David Lukacsa |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 26 Years |
| Location | 110 Health Park Blvd, Saint Augustine, 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 |
|---|---|---|---|
| 1760429906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9104358 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Villages Regional Hospital Physician Services Llc | 0244688893 | 198 |
| Entity Name | Paragon Emergency Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912101650 PECOS PAC ID: 8628153087 Enrollment ID: O20080310000143 |
| Entity Name | Guidewell Emergency Medicine Doctors, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629497235 PECOS PAC ID: 8224352919 Enrollment ID: O20150129001176 |
| Entity Name | Villages Regional Hospital Physician Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700669926 PECOS PAC ID: 0244688893 Enrollment ID: O20231121001709 |
| Entity Name | Flagler Professional Health Care Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811739873 PECOS PAC ID: 4082973953 Enrollment ID: O20241003000628 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Thomas David Lukacsa, PA-C Po Box 100237, Gainesville, FL 32610-0237 Ph: (352) 392-4541 | Mr Thomas David Lukacsa, PA-C 110 Health Park Blvd, Saint Augustine, FL 32086-5776 Ph: (904) 823-3401 |
Matthew Montgomery, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 45 Groover Loop Ste 201, Saint Augustine, FL 32086 Phone: 904-634-0640 |
Douglas Senecal, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 110 Health Park Blvd, Saint Augustine, FL 32086 Phone: 904-823-3401 Fax: 904-829-8649 |
Brooks Michael Whalen, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 130 Health Park Blvd, Saint Augustine, FL 32086 Phone: 904-826-3469 Fax: 904-808-4608 |
Lindsey Porubcan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 400 Health Park Blvd, Saint Augustine, FL 32086 Phone: 904-819-5155 Fax: 904-819-4906 |
Brandon Braddock, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 300 Health Park Blvd, Suite 4000, Saint Augustine, FL 32086 Phone: 904-824-8666 |
Ms. Stephanie L Hicks, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 132 Goldenrod Dr, Saint Augustine, FL 32092 Phone: 815-342-4901 |
Mr. Michael Stanley Jecen, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 110 Health Park Blvd, Saint Augustine, FL 32086 Phone: 904-823-3401 Fax: 904-829-8649 |