| Matthew J Lucas, PT | |
|
1917 N Lakewood Dr, Coeur D Alene, ID 83814-2634 | |
| (208) 664-8194 | |
| (208) 667-1847 |
| Full Name | Matthew J Lucas |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1917 N Lakewood Dr, Coeur D Alene, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821022120 | NPI | - | NPPES |
| 000010150822 | Other | ID | BLUE SHIELD |
| 0198312 | Other | WA | LABOR AND INDUSTRY |
| TC811 | Other | ID | BLUE CROSS |
| 807206500 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT-1931 (Idaho) | Primary |
| Provider Name | Shellman Inc Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1326050253 PECOS PAC ID: 4981592938 Enrollment ID: O20040310000340 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew J Lucas, PT 1917 N Lakewood Dr, Coeur D Alene, ID 83814-2634 Ph: (208) 664-8194 | Matthew J Lucas, PT 1917 N Lakewood Dr, Coeur D Alene, ID 83814-2634 Ph: (208) 664-8194 |
Mark Andrew Stevens, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1812 N Lakewood Dr Ste 100, Coeur D Alene, ID 83814 Phone: 208-966-4475 Fax: 208-966-4475 | |
Mrs. Holly D Bruns, M.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 W Aqua Ave, Coeur D Alene, ID 83815 Phone: 208-762-1122 | |
Dr. Sharron Elizabeth Mcmillan, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 411 W Haycraft Ave Ste D4, Coeur D Alene, ID 83815 Phone: 208-664-2468 | |
Jonathan Hoelzen, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1088 W Prairie Ave, Coeur D Alene, ID 83815 Phone: 208-772-6609 | |
Competitive Fitness & Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1321 W Northwood Center Ct, Suite B, Coeur D Alene, ID 83814 Phone: 208-665-7055 Fax: 208-665-7093 | |
Pure Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3655 N Government Way, Suite 3, Coeur D Alene, ID 83815 Phone: 208-691-8888 | |
Debora Caires Nelson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2200 Ironwood Pl, Coeur D Alene, ID 83814 Phone: 208-667-6486 Fax: 208-676-8276 |