Dr Mark A Lucas, MD | |
601 John St, Suite M-206c, Kalamazoo, MI 49007-5341 | |
(269) 349-9745 | |
(269) 349-1013 |
Full Name | Dr Mark A Lucas |
---|---|
Gender | Male |
Speciality | Urology |
Location | 601 John St, Kalamazoo, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407890882 | NPI | - | NPPES |
111760 | Other | GREAT LAKES HLTH PLN | |
3403957061 | Other | MI | BCBS IND PIN |
340C910480 | Other | MI | BCBS GRP PIN |
2999271-10 | Medicaid | MI | |
4361735 | Other | AETNA PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 4301037689 (Michigan) | Primary |
Entity Name | Bronson Methodist Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417961137 PECOS PAC ID: 0244148633 Enrollment ID: O20031208000832 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark A Lucas, MD 601 John St, Suite M-206c, Kalamazoo, MI 49007-5341 Ph: (269) 349-9745 | Dr Mark A Lucas, MD 601 John St, Suite M-206c, Kalamazoo, MI 49007-5341 Ph: (269) 349-9745 |
Dr. James B Bour, M.D. Urology Medicare: Medicare Enrolled Practice Location: 601 John St, Suite M206c, Kalamazoo, MI 49007 Phone: 269-349-9745 Fax: 269-488-8305 | |
Dr. Gregor W Blix, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 601 John St, Suite M206, Kalamazoo, MI 49007 Phone: 269-349-9745 Fax: 269-488-8305 | |
Pamela Sue Baron, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 601 John St, Ste M206c, Kalamazoo, MI 49007 Phone: 269-488-3230 Fax: 269-488-8305 | |
Austin Fernstrum, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 601 John St Ste M-318, Kalamazoo, MI 49007 Phone: 269-349-9745 | |
Dr. Robert R Isacksen, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 601 John St, Suite M206c, Kalamazoo, MI 49007 Phone: 269-349-9745 Fax: 269-488-8305 |