Stephanie N Luckett, DMD in Louisville, KY

Stephanie N Luckett, DMD is a medicare enrolled "Dentist" provider in Louisville, Kentucky. Her current practice location is 2215 Portland Ave, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 772-8160.

Stephanie N Luckett is licensed to practice in Kentucky (license number 9477) 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 1003224833.

Contact Information

	Stephanie N Luckett, DMD
	2215 Portland Ave, Louisville, KY 40212-1033
	(502) 772-8160
	(502) 772-8108

Map and Direction

Healthcare Provider's Profile

Full Name	Stephanie N Luckett
Gender	Female
Speciality	Dentist
Location	2215 Portland Ave, Louisville, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003224833
Provider Enumeration Date: 07/24/2014
Last Update Date: 08/06/2016

Medicare PECOS Information:

PECOS PAC ID: 7719271329
Enrollment ID: I20231221003846

Medical Identifiers

Medical identifiers for Stephanie N Luckett such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003224833	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	9477 (Kentucky)	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. Stephanie N Luckett allows following entities to bill medicare on her behalf.

Entity Name	Family Health Centers, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649732603 PECOS PAC ID: 6901700053 Enrollment ID: O20031121000045

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. Stephanie N Luckett 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
Stephanie N Luckett, DMD 2215 Portland Avenue, Louisville, KY 40242-3214 Ph: (502) 772-8160	Stephanie N Luckett, DMD 2215 Portland Ave, Louisville, KY 40212-1033 Ph: (502) 772-8160

Reviews and Comments

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Stephanie N Luckett, DMD - Medicare Dentist in Louisville, KY