Carrie Kelley Lucas, FNP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Central Point, Oregon. Her current practice location is
870 S Front St Ste 200, Central Point, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 732-8000.
Carrie Kelley Lucas is licensed to practice in Oregon (license number 10022149) 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 1760259402.
Physician's Profile
Full Name | Carrie Kelley Lucas |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 870 S Front St Ste 200, Central Point, Oregon |
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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: 1760259402
- Provider Enumeration Date: 12/04/2023
- Last Update Date: 04/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 3971940222
- Enrollment ID: I20240321002359
Medical Identifiers
Medical identifiers for Carrie Kelley Lucas such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760259402 | NPI | - | NPPES |
500832248 | Medicaid | OR | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | F11230401 (Utah) | Secondary |
363LF0000X | Nurse Practitioner - Family | 10022149 (Oregon) | 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. Carrie Kelley Lucas allows following entities to bill medicare on her behalf.
Entity Name | Providence Health & Services Oregon |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1093976243 PECOS PAC ID: 3476450560 Enrollment ID: O20031217000186 |
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Entity Name | Providence Health & Services Oregon |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1568547503 PECOS PAC ID: 5294623245 Enrollment ID: O20040310000315 |
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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. Carrie Kelley 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 |
Carrie Kelley Lucas, FNP-C Po Box 3158, Portland, OR 97208-3158 Ph: () - | Carrie Kelley Lucas, FNP-C 870 S Front St Ste 200, Central Point, OR 97502-2779 Ph: (541) 732-8000 |
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