Mrs Nicole Anne Lucero, RD in Lakeland, FL - Medicare Dietitian, Registered Provider

Mrs Nicole Anne Lucero, RD is a medicare enrolled "Dietitian, Registered" provider in Lakeland, Florida. Her current practice location is 1324 Lakeland Hills Blvd, Lakeland Regional Health Diabetes Dept., Lakeland, Florida. You can reach out to her office (for appointments etc.) via phone at (863) 687-1100.

Mrs Nicole Anne Lucero is licensed to practice in * (Not Available) (license number 866014) 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 1124559489.

Contact Information

	Mrs Nicole Anne Lucero, RD
	1324 Lakeland Hills Blvd, Lakeland Regional Health Diabetes Dept., Lakeland, FL 33805
	(863) 687-1100
	(863) 687-1412

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Nicole Anne Lucero
Gender	Female
Speciality	Dietitian, Registered
Location	1324 Lakeland Hills Blvd, Lakeland, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124559489
Provider Enumeration Date: 03/27/2017
Last Update Date: 03/27/2017

Medicare PECOS Information:

PECOS PAC ID: 2769725779
Enrollment ID: I20250428002628

Medical Identifiers

Medical identifiers for Mrs Nicole Anne Lucero such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124559489	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	866014 (* (Not Available))	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. Mrs Nicole Anne Lucero allows following entities to bill medicare on her behalf.

Provider Name	Lakeland Regional Health Systems Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1497748743 PECOS PAC ID: 8325952914 Enrollment ID: O20031118000384

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. Mrs Nicole Anne Lucero 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
Mrs Nicole Anne Lucero, RD 15509 Starling Water Drive, Lithia, FL 33547 Ph: (813) 503-5825	Mrs Nicole Anne Lucero, RD 1324 Lakeland Hills Blvd, Lakeland Regional Health Diabetes Dept., Lakeland, FL 33805 Ph: (863) 687-1100

Reviews and Comments

Dietitian, Registered in Lakeland, FL

Deborah Reyes, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3215 Winter Lake Road, Lakeland, FL 33803 Phone: 863-648-3057
Carol Herendeen, RD LD N Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7000 Fax: 866-264-8519
Miss Monika Bauerle Petrie, R.D., L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1324 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-687-1100
Mrs. Gledia Lovering, NP-C, MSN, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6420 Highlands In The Woods St, Lakeland, FL 33813 Phone: 863-644-6802
Taylor Wolf, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3308 Kilmer Dr, Lakeland, FL 33803 Phone: 863-225-1660
Aimee Bert-moreno, APRN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 860-680-7000 Fax: 866-264-8519

Mrs Nicole Anne Lucero, RD - Medicare Dietitian in Lakeland, FL