| Adrian Jacob Lucero, PT | |
|
1712 S Country Club Dr Ste 101, Mesa, AZ 85210-6046 | |
| (480) 222-0655 | |
| Not Available |
| Full Name | Adrian Jacob Lucero |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Location | 1712 S Country Club Dr Ste 101, Mesa, Arizona |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255065009 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (NU) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physical Therapy And Rehabilitation Services Of Las Cruces, Llc | 7911280573 | 5 |
| Provider Name | Physical Therapy and Rehabilitation Services of Las Cruces, LLC |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1740733377 PECOS PAC ID: 7911280573 Enrollment ID: O20170207000445 |
| Mailing Address | Practice Location Address |
|---|---|
| Adrian Jacob Lucero, PT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: Not Available | Adrian Jacob Lucero, PT 1712 S Country Club Dr Ste 101, Mesa, AZ 85210-6046 Ph: (480) 222-0655 |
Justin Dunaway, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6632 E Baseline Rd, Suite 102, Mesa, AZ 85206 Phone: 480-222-0655 Fax: 480-222-1457 |
Deborah A Mordhorst, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2919 S Ellsworth Rd, Suite 111, Mesa, AZ 85212 Phone: 480-358-6767 Fax: 480-358-6885 |
Anda Michelle Vaughn, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5358 E Baseline Road, Mesa, AZ 85206 Phone: 480-699-9224 |
Joshua N Lacanlale, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 3035 S Ellsworth Rd, Bldg 4, #128, Mesa, AZ 85212 Phone: 480-357-6500 Fax: 480-357-6515 |
Savannah Torrez, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2524 E Golden St, Mesa, AZ 85213 Phone: 575-499-4249 |
Bloom Physical Therapy, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3035 S Ellsworth Rd Ste 128, Mesa, AZ 85212 Phone: 480-357-6500 |
Kaye Sjoholm, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1025 N Country Club Dr, Mesa, AZ 85201 Phone: 505-363-4716 |