Dr Tatiana O Lucas, DDS is a medicare enrolled "Dentist" provider in Mount Pleasant, Pennsylvania. Her current practice location is
272 Cross Roads Plz, Mount Pleasant, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(724) 547-0690.
Dr Tatiana O Lucas is licensed to practice in Pennsylvania (license number DS041087) 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 1114473576.
Healthcare Provider's Profile
Full Name | Dr Tatiana O Lucas |
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Gender | Female |
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Speciality | Dentist |
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Location | 272 Cross Roads Plz, Mount Pleasant, Pennsylvania |
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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: 1114473576
- Provider Enumeration Date: 08/26/2016
- Last Update Date: 06/17/2020
Medicare PECOS Information:
- PECOS PAC ID: 9335402023
- Enrollment ID: I20180411000292
Medical Identifiers
Medical identifiers for Dr Tatiana O Lucas such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114473576 | NPI | - | NPPES |
1032153500002 | Medicaid | PA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | WV4232 (West Virginia) | Secondary |
122300000X | Dentist | DS041087 (Pennsylvania) | 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 Tatiana O Lucas allows following entities to bill medicare on her behalf.
Entity Name | Dr. Tatiana Lucas, Dds Family Dentistry, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1467976878 PECOS PAC ID: 5890058580 Enrollment ID: O20180411000246 |
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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 Tatiana O 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 |
Dr Tatiana O Lucas, DDS 272 Cross Roads Plz, Mount Pleasant, PA 15666-2288 Ph: (724) 547-0690 | Dr Tatiana O Lucas, DDS 272 Cross Roads Plz, Mount Pleasant, PA 15666 Ph: (724) 547-0690 |
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