Nathanael Lucero, in Roanoke, TX - Medicare Physical Therapist Provider

Nathanael Lucero, is a medicare enrolled "Physical Therapist" provider in Roanoke, Texas. His current practice location is 111 S Pine St, Roanoke, Texas. You can reach out to his office (for appointments etc.) via phone at (530) 902-1239.

Nathanael Lucero is licensed to practice in Texas (license number 1267787) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1457192791.

Contact Information

	Nathanael Lucero,
	111 S Pine St, Roanoke, TX 76262-6638
	(530) 902-1239
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nathanael Lucero
Gender	Male
Speciality	Physical Therapist
Location	111 S Pine St, Roanoke, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457192791
Provider Enumeration Date: 06/03/2024
Last Update Date: 06/03/2024

Medicare PECOS Information:

PECOS PAC ID: 2062937295
Enrollment ID: I20250421000349

Medical Identifiers

Medical identifiers for Nathanael Lucero such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457192791	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	1267787 (Texas)	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. Nathanael Lucero allows following entities to bill medicare on his behalf.

Provider Name	Foundation Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1225446669 PECOS PAC ID: 2466761341 Enrollment ID: O20151015000626

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. Nathanael Lucero 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
Nathanael Lucero, 111 S Pine St, Roanoke, TX 76262-6638 Ph: () -	Nathanael Lucero, 111 S Pine St, Roanoke, TX 76262-6638 Ph: (530) 902-1239

Reviews and Comments

Physical Therapist in Roanoke, TX

Mr. Daniel Aerol Pado Sadural, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 409 N Oak St Ste 220, Roanoke, TX 76262 Phone: 682-502-4440 Fax: 682-502-4490
Holly Kristen Dickson, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2800 E.state Hwy 114, Suite 220, Roanoke, TX 76262 Phone: 817-491-3403 Fax: 817-491-3308
Valentine Physical Therapy, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1212 N Highway 377 Ste 111, Roanoke, TX 76262 Phone: 214-494-6287
Madeleine Haralson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 295 W Byron Nelson Blvd Ste 212, Roanoke, TX 76262 Phone: 817-756-5366
Judy Karrenbrock, LPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 308 N Oak St Ste 100, Roanoke, TX 76262 Phone: 903-574-3750 Fax: 817-697-0007
Sarah Elizabeth Morgan, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 409 N Oak St Ste 220, Roanoke, TX 76262 Phone: 682-502-4440
Kim Tong, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1756 Halifax St, Roanoke, TX 76262 Phone: 469-993-8028

Nathanael Lucero, - Medicare Physical Therapist in Roanoke, TX