Dr Jerry Allen Lucas, MD | |
5354 Reynolds St Ste 315, Savannah, GA 31405-6010 | |
(912) 354-2634 | |
Not Available |
Full Name | Dr Jerry Allen Lucas |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 31 Years |
Location | 5354 Reynolds St Ste 315, Savannah, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912016742 | NPI | - | NPPES |
45748 | Other | VA | OPTIMA SENTARA ID# |
160043283Q | Other | VA | RAILROAD MEDICARE ID# |
541467765 | Other | VA | TAX ID# |
006210082 | Medicaid | VA | |
20507 | Other | VA | VIRGINIA PREMIER ID # |
952279 | Other | VA | AETNA ID# |
90992 | Other | GA | STATE LICENSE |
5414523 | Other | VA | AETNA |
271664 | Other | VA | ANTHEM BC/BS ID# |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 0101055788 (Virginia) | Secondary |
207VX0000X | Obstetrics & Gynecology - Obstetrics | 90992 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St. Joseph's/candler Ob/gyn Practice, Llc | 4385909936 | 11 |
Entity Name | Albany Area Primary Health Care, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780608992 PECOS PAC ID: 7911811922 Enrollment ID: O20040217000509 |
Entity Name | St. Joseph's/candler Ob/gyn Practice, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730690561 PECOS PAC ID: 4385909936 Enrollment ID: O20180531001527 |
Mailing Address | Practice Location Address |
---|---|
Dr Jerry Allen Lucas, MD 836 E 65th St Ste 22, Savannah, GA 31405-4493 Ph: (912) 819-7171 | Dr Jerry Allen Lucas, MD 5354 Reynolds St Ste 315, Savannah, GA 31405-6010 Ph: (912) 354-2634 |
Dr. Ramon Vernon Meguiar, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 4700 Waters Ave, Suite Cam 500, Savannah, GA 31404 Phone: 912-350-9456 Fax: 912-350-5837 | |
Dr. Patrick Leroy Blohm, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 5354 Reynolds St, Suite 510, Savannah, GA 31405 Phone: 912-352-8588 Fax: 912-352-8893 | |
Anthony Bruno Royek, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4750 Waters Ave, Suite 302, Savannah, GA 31404 Phone: 912-350-5970 Fax: 912-350-5976 | |
Katherine Ann Bebeau, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5354 Reynolds St Ste 518, Savannah, GA 31405 Phone: 912-819-9650 Fax: 912-819-9651 | |
Dr. Wilfredo Alexis Negron, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5354 Reynolds St Ste 304, Savannah, GA 31405 Phone: 912-355-7303 | |
Dr. Susan Mobley Greene, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 101 W Mulberry Blvd Ste 100, Savannah, GA 31407 Phone: 912-350-5937 Fax: 912-350-3483 | |
Sarah Chappell Jarrell, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5353 Reynolds St, Ste 300, Savannah, GA 31405 Phone: 912-355-6005 Fax: 912-355-5643 |