Dr Eric Jay Lullove, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Coconut Creek, Florida. He went to Kent State University College Of Podiatric Medicine and graduated in 2002 and has 23 years of diverse experience with area of expertise as Podiatry. His current practice location is
4855 W Hillsboro Blvd, Ste B6, Coconut Creek, Florida. You can reach out to his office (for appointments etc.) via phone at
(561) 989-9780.
Dr Eric Jay Lullove is licensed to practice in Florida (license number PO 3133) 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 1104811744.
Healthcare Provider's Profile
| Full Name | Dr Eric Jay Lullove |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 23 Years |
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| Location | 4855 W Hillsboro Blvd, Coconut Creek, Florida |
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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 Eric Jay Lullove attended and graduated from Kent State University College Of Podiatric Medicine in 2002
NPI Data:
- NPI Number: 1104811744
- Provider Enumeration Date: 09/20/2005
- Last Update Date: 07/30/2017
Medicare PECOS Information:
- PECOS PAC ID: 0446140701
- Enrollment ID: I20040617001739
Medical Identifiers
Medical identifiers for Dr Eric Jay Lullove such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1104811744 | NPI | - | NPPES |
| 340480300 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213ES0103X | Podiatrist - Foot & Ankle Surgery | PO 3133 (Florida) | 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 Eric Jay Lullove allows following entities to bill medicare on his behalf.
| Provider Name | Eric J Lullove Dpm Pa |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1952361891
PECOS PAC ID: 7618994997
Enrollment ID: O20051026000431 |
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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 Eric Jay Lullove 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 Eric Jay Lullove, DPM
4855 W Hillsboro Blvd, Ste B6,
Coconut Creek, FL 33073-4356
Ph: (561) 989-9780 | Dr Eric Jay Lullove, DPM
4855 W Hillsboro Blvd, Ste B6,
Coconut Creek, FL 33073-4356
Ph: (561) 989-9780 |
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