Dr Thomas Lucas Iv, OD is a medicare enrolled "Optometrist" provider in Cloverdale, California. He went to University Of California - School Of Optometry and graduated in 2019 and has 6 years of diverse experience with area of expertise as Optometry. His current practice location is
112 W 1st St, Cloverdale, California. You can reach out to his office (for appointments etc.) via phone at
(707) 894-2020.
Dr Thomas Lucas Iv is licensed to practice in California (license number 34288TLG) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1558929992.
Healthcare Provider's Profile
| Full Name | Dr Thomas Lucas Iv |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 6 Years |
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| Location | 112 W 1st St, Cloverdale, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Thomas Lucas Iv attended and graduated from University Of California - School Of Optometry in 2019
NPI Data:
- NPI Number: 1558929992
- Provider Enumeration Date: 05/31/2019
- Last Update Date: 10/20/2022
Medicare PECOS Information:
- PECOS PAC ID: 8123356417
- Enrollment ID: I20190823002905
Medical Identifiers
Medical identifiers for Dr Thomas Lucas Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1558929992 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 34288TLG (California) | Primary |
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. Dr Thomas Lucas Iv allows following entities to bill medicare on his behalf.
| Provider Name | Eye Associates Of Sebastopol Medical Group |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1295729382
PECOS PAC ID: 1052362696
Enrollment ID: O20050201000776 |
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| Provider Name | Trevor K Irish Od Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1114249026
PECOS PAC ID: 6002945268
Enrollment ID: O20100526000396 |
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| Provider Name | Thomas M Lucas Iv Od Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1760115513
PECOS PAC ID: 4284019035
Enrollment ID: O20220915001575 |
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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. Dr Thomas Lucas Iv 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 |
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Dr Thomas Lucas Iv, OD
112 W 1st St,
Cloverdale, CA 95425-3607
Ph: (707) 894-2020 | Dr Thomas Lucas Iv, OD
112 W 1st St,
Cloverdale, CA 95425-3607
Ph: (707) 894-2020 |
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