Van Lucas Ii, OD is a medicare enrolled "Optometrist" provider in Waynesboro, Mississippi. He went to Southern College Of Optometry and graduated in 1992 and has 32 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Southern Eye Physicians Center, Llc and his current practice location is
1350 Azalea Dr, Waynesboro, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(662) 320-6555.
Van Lucas Ii is licensed to practice in Mississippi (license number 583) 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 1184997926.
Healthcare Provider's Profile
| Full Name | Van Lucas Ii |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 32 Years |
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| Location | 1350 Azalea Dr, Waynesboro, Mississippi |
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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:
- Van Lucas Ii attended and graduated from Southern College Of Optometry in 1992
NPI Data:
- NPI Number: 1184997926
- Provider Enumeration Date: 02/09/2012
- Last Update Date: 08/28/2018
Medicare PECOS Information:
- PECOS PAC ID: 4880590991
- Enrollment ID: I20120410000651
Medical Identifiers
Medical identifiers for Van Lucas Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184997926 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 583 (Mississippi) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Southern Eye Physicians Center, Llc | 6507935293 | 6 |
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. Van Lucas Ii allows following entities to bill medicare on his behalf.
| Provider Name | James S. Brown, Iii, Md, Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1689703324
PECOS PAC ID: 0446284921
Enrollment ID: O20050923000488 |
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| Provider Name | Southern Eye Physicians Center, Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1235316266
PECOS PAC ID: 6507935293
Enrollment ID: O20080521000407 |
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| Provider Name | Crawford Eye Care |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1336459668
PECOS PAC ID: 8426239492
Enrollment ID: O20110223001023 |
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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. Van Lucas Ii 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 |
|---|
Van Lucas Ii, OD
1420 S 28th Ave,
Hattiesburg, MS 39402-3107
Ph: (601) 705-0078 | Van Lucas Ii, OD
1350 Azalea Dr,
Waynesboro, MS 39367-2257
Ph: (662) 320-6555 |
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