Ricardo Lugo, DDS, MD is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Shreveport, Louisiana. He went to University Of California, San Francisco School Of Medicine and graduated in 2017 and has 8 years of diverse experience with area of expertise as Oral Surgery. He is a member of the group practice Alameda Health System and his current practice location is
1501 Kings Hwy Rm 530, Shreveport, Louisiana. You can reach out to his office (for appointments etc.) via phone at
(318) 675-6036.
Ricardo Lugo is licensed to practice in Louisiana (license number 311638) 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 1588078224.
Healthcare Provider's Profile
Full Name | Ricardo Lugo |
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Gender | Male |
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Speciality | Oral Surgery |
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Experience | 8 Years |
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Location | 1501 Kings Hwy Rm 530, Shreveport, Louisiana |
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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. |
Medical Education and Training:
- Ricardo Lugo attended and graduated from University Of California, San Francisco School Of Medicine in 2017
NPI Data:
- NPI Number: 1588078224
- Provider Enumeration Date: 06/19/2014
- Last Update Date: 07/24/2019
Medicare PECOS Information:
- PECOS PAC ID: 8123353620
- Enrollment ID: I20210728003427
Medical Identifiers
Medical identifiers for Ricardo Lugo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588078224 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | S-991 (Louisiana) | Secondary |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 63027 (California) | Secondary |
204E00000X | Oral & Maxillofacial Surgery | A158305 (California) | Secondary |
204E00000X | Oral & Maxillofacial Surgery | 311638 (Louisiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Alameda Health System | 3779494521 | 533 |
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. Ricardo Lugo allows following entities to bill medicare on his behalf.
Entity Name | Alameda Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1740332931 PECOS PAC ID: 3779494521 Enrollment ID: O20031110000764 |
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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. Ricardo Lugo 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 |
Ricardo Lugo, DDS, MD 1501 Kings Hwy Rm 530, Shreveport, LA 71103-4228 Ph: (318) 675-6036 | Ricardo Lugo, DDS, MD 1501 Kings Hwy Rm 530, Shreveport, LA 71103-4228 Ph: (318) 675-6036 |
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