Ms Kelly Lucas, is a medicare enrolled "Marriage & Family Therapist" provider in Streetsboro, Ohio. Her current practice location is
830 Holborn Rd, Streetsboro, Ohio. You can reach out to her office (for appointments etc.) via phone at
(330) 577-8281.
Ms Kelly Lucas is licensed to practice in Ohio (license number F.2100187) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1952837650.
Healthcare Provider's Profile
Full Name | Ms Kelly Lucas |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 830 Holborn Rd, Streetsboro, Ohio |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1952837650
- Provider Enumeration Date: 05/02/2017
- Last Update Date: 05/19/2021
Medicare PECOS Information:
- PECOS PAC ID: 6305281353
- Enrollment ID: I20240229000849
Medical Identifiers
Medical identifiers for Ms Kelly Lucas such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952837650 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
106H00000X | Marriage & Family Therapist | F.2100187 (Ohio) | 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. Ms Kelly Lucas allows following entities to bill medicare on her behalf.
Entity Name | Rising Phoenix Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1710638721 PECOS PAC ID: 5092159079 Enrollment ID: O20240217000426 |
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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. Ms Kelly Lucas 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 |
Ms Kelly Lucas, Po Box 2192, Hudson, OH 44236-0192 Ph: (330) 577-8281 | Ms Kelly Lucas, 830 Holborn Rd, Streetsboro, OH 44241-4315 Ph: (330) 577-8281 |
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