Dr Jodie Lusby, DMD is a medicare enrolled "Dentist - Periodontics" provider in St Matthews, Kentucky. His current practice location is
4010 Dupont Cir Ste 524, St Matthews, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(502) 897-9417.
Dr Jodie Lusby is licensed to practice in Kentucky (license number 9779) 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 1033573415.
Healthcare Provider's Profile
Full Name | Dr Jodie Lusby |
---|
Gender | Male |
---|
Speciality | Dentist - Periodontics |
---|
Location | 4010 Dupont Cir Ste 524, St Matthews, Kentucky |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1033573415
- Provider Enumeration Date: 04/11/2016
- Last Update Date: 06/23/2019
Medicare PECOS Information:
- PECOS PAC ID: 5395031348
- Enrollment ID: I20160831001052
Medical Identifiers
Medical identifiers for Dr Jodie Lusby such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033573415 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223P0300X | Dentist - Periodontics | 9779 (Kentucky) | 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. Dr Jodie Lusby 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 |
Dr Jodie Lusby, DMD 11400 Willow Branch Dr, Louisville, KY 40291-4529 Ph: (859) 816-2701 | Dr Jodie Lusby, DMD 4010 Dupont Cir Ste 524, St Matthews, KY 40207-4888 Ph: (502) 897-9417 |
Reviews and Comments