Lucas Allan Broten, PHD, LP is a
Psychologist based in Reno, Nevada. Lucas Allan Broten is licensed to practice in Nevada (license number PYT150330) and his current practice location is
1055 S Wells Ave, Reno, Nevada. He can be reached at his office (for appointments etc.) via phone at
(775) 329-6300.
NPI number for Lucas Allan Broten is 1407101835 and his current mailing address is 680 S Rock Blvd, Reno, Nevada. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1407101835.
Healthcare Provider's Profile
| Full Name | Lucas Allan Broten |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist |
|---|
| Location | 1055 S Wells Ave, Reno, Nevada |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1407101835
- Provider Enumeration Date: 07/23/2012
- Last Update Date: 10/01/2015
Medical Identifiers
Medical identifiers for Lucas Allan Broten such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407101835 | NPI | - | NPPES |
| 100261397-00 | Medicaid | NE | |
| 470376606-24 | Medicaid | NE | |
| 10026251000 | Medicaid | NE | |
| 470376606-31 | Medicaid | NE | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | 9716 (Nebraska) | Secondary |
| 103T00000X | Psychologist | 861 (Nebraska) | Secondary |
| 103T00000X | Psychologist | PYT150330 (Nevada) | Primary |
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. Lucas Allan Broten is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Lucas Allan Broten, PHD, LP
680 S Rock Blvd,
Reno, NV 89502-4113
Ph: (775) 329-6300 | Lucas Allan Broten, PHD, LP
1055 S Wells Ave,
Reno, NV 89502-2550
Ph: (775) 329-6300 |
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