Dr Elizabeth A Lucich, MD is a medicare enrolled "Plastic Surgery" physician in Bloomington, Indiana. Her current practice location is
2651 E Discovery Pkwy, Bloomington, Indiana. You can reach out to her office (for appointments etc.) via phone at
(812) 676-4430.
Dr Elizabeth A Lucich is licensed to practice in Indiana (license number 01089098A) 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 1912428145.
Physician's Profile
Full Name | Dr Elizabeth A Lucich |
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Gender | Female |
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Speciality | Plastic Surgery |
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Location | 2651 E Discovery Pkwy, Bloomington, Indiana |
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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: 1912428145
- Provider Enumeration Date: 06/28/2017
- Last Update Date: 09/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 4385913177
- Enrollment ID: I20230719002892
Medical Identifiers
Medical identifiers for Dr Elizabeth A Lucich such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912428145 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208200000X | Plastic Surgery | 4301112665 (Michigan) | Secondary |
208200000X | Plastic Surgery | 01089098A (Indiana) | 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. Dr Elizabeth A Lucich allows following entities to bill medicare on her behalf.
Entity Name | Indiana University Health Southern Indiana Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013953983 PECOS PAC ID: 6204748197 Enrollment ID: O20040423000556 |
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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. Dr Elizabeth A Lucich 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 |
Dr Elizabeth A Lucich, MD 2651 E Discovery Pkwy, Bloomington, IN 47408-9059 Ph: () - | Dr Elizabeth A Lucich, MD 2651 E Discovery Pkwy, Bloomington, IN 47408-9059 Ph: (812) 676-4430 |
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