Dr Jerry Lee Lugger, MD is a medicare enrolled "Plastic Surgery" physician in Euless, Texas. His current practice location is
461 Westpark Way, Euless, Texas. You can reach out to his office (for appointments etc.) via phone at
(817) 540-1755.
Dr Jerry Lee Lugger is licensed to practice in Texas (license number G2762) 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 1700814647.
Physician's Profile
| Full Name | Dr Jerry Lee Lugger |
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| Gender | Male |
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| Speciality | Plastic Surgery |
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| Location | 461 Westpark Way, Euless, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1700814647
- Provider Enumeration Date: 06/29/2006
- Last Update Date: 02/02/2017
Medicare PECOS Information:
- PECOS PAC ID: 3971766700
- Enrollment ID: I20120515000398
Medical Identifiers
Medical identifiers for Dr Jerry Lee Lugger such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700814647 | NPI | - | NPPES |
| P0007P724 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208200000X | Plastic Surgery | G2762 (Texas) | 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 Jerry Lee Lugger allows following entities to bill medicare on his behalf.
| Entity Name | Jerry L Lugger Md Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043576358
PECOS PAC ID: 3072776806
Enrollment ID: O20120515000375 |
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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 Jerry Lee Lugger 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 Jerry Lee Lugger, MD
3061 W Southlake Blvd, Ste 130,
Southlake, TX 76092-0314
Ph: (817) 540-1755 | Dr Jerry Lee Lugger, MD
461 Westpark Way,
Euless, TX 76040-3957
Ph: (817) 540-1755 |
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