Charles Luckey Dunn, MD in Port Orange, FL

Charles Luckey Dunn, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Port Orange, Florida. His current practice location is 1720 Dunlawton Ave Ste 2, Port Orange, Florida. You can reach out to his office (for appointments etc.) via phone at (866) 400-3376.

Charles Luckey Dunn is licensed to practice in Florida (license number ME150625) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1477976082.

Contact Information

	Charles Luckey Dunn, MD
	1720 Dunlawton Ave Ste 2, Port Orange, FL 32127-2916
	(866) 400-3376
	(386) 322-8370

Map and Direction

Physician's Profile

Full Name	Charles Luckey Dunn
Gender	Male
Speciality	Dermatology - Mohs-micrographic Surgery
Location	1720 Dunlawton Ave Ste 2, Port Orange, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477976082
Provider Enumeration Date: 02/03/2014
Last Update Date: 06/04/2024

Medicare PECOS Information:

PECOS PAC ID: 5496026049
Enrollment ID: I20240521002251

Medical Identifiers

Medical identifiers for Charles Luckey Dunn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477976082	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	ME150625 (Florida)	Secondary
207ND0101X	Dermatology - Mohs-micrographic Surgery	ME150625 (Florida)	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. Charles Luckey Dunn allows following entities to bill medicare on his behalf.

Entity Name	Leavitt Medical Associates Of Florida Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083872535 PECOS PAC ID: 4688579311 Enrollment ID: O20050228000737

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. Charles Luckey Dunn 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
Charles Luckey Dunn, MD 151 Southhall Ln Ste 300, Maitland, FL 32751-7172 Ph: (866) 400-3376	Charles Luckey Dunn, MD 1720 Dunlawton Ave Ste 2, Port Orange, FL 32127-2916 Ph: (866) 400-3376

Reviews and Comments

Dermatology Doctors in Port Orange, FL

America Seach, Dermatology Medicare: Medicare Enrolled Practice Location: 3951 S Nova Rd, Port Orange, FL 32127 Phone: 386-256-1444
Dr. Michael Robert Murchland, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3951 S Nova Rd, Port Orange, FL 32127 Phone: 386-256-1444 Fax: 321-400-1118
Miss Abbey Elisabeth Mcmurray, PA Dermatology Medicare: Medicare Enrolled Practice Location: 1720 Dunlawton Ave Ste 2, Port Orange, FL 32127 Phone: 386-322-8310 Fax: 386-322-8370
Dr. Stephen W Eubanks, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1720 Dunlawton Ave Ste 2, Port Orange, FL 32127 Phone: 386-322-8310 Fax: 386-322-8370

Charles Luckey Dunn, MD - Medicare Dermatology in Port Orange, FL