Dr Paul A Lucky, MD | |
10506 Montgomery Rd Ste 402, Cincinnati, OH 45242-4489 | |
(513) 791-6161 | |
(513) 791-4085 |
Full Name | Dr Paul A Lucky |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 52 Years |
Location | 10506 Montgomery Rd Ste 402, Cincinnati, Ohio |
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 |
---|---|---|---|
1720119068 | NPI | - | NPPES |
0538912 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 35049616 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Cincinnati Children's Hospital Medical Center | Cincinnati, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dermatologists Of Southwestern Ohio, Llc | 7113973041 | 84 |
Entity Name | Dermatologists Of Southwestern Ohio, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801819883 PECOS PAC ID: 7113973041 Enrollment ID: O20050323001436 |
Mailing Address | Practice Location Address |
---|---|
Dr Paul A Lucky, MD 5300 Far Hills Ave, Dayton, OH 45429-2381 Ph: (937) 433-7536 | Dr Paul A Lucky, MD 10506 Montgomery Rd Ste 402, Cincinnati, OH 45242-4489 Ph: (513) 791-6161 |
Bria Deshea Barjuca, APRN-CNP Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4450 Eastgate Blvd Ste 232, Cincinnati, OH 45245 Phone: 513-770-4212 | |
Lauren Grau, APRN Dermatology Medicare: Not Enrolled in Medicare Practice Location: 331 W 4th St, Cincinnati, OH 45202 Phone: 614-500-7000 | |
Kalyani Shriram Marathe, MD, MPH Dermatology Medicare: Medicare Enrolled Practice Location: 3333 Burnet Ave, Ml 3004, Cincinnati, OH 45229 Phone: 513-636-4215 Fax: 513-636-5867 | |
Debra L Breneman, M. D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3130 Highland Ave, Cincinnati, OH 45219 Phone: 513-584-3686 Fax: 513-475-7636 | |
Katherine Leslie Baquerizo Nole, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3130 Highland Ave, U Cincinnati Medical Center. Department Of Dermatology, Cincinnati, OH 45219 Phone: 513-584-4644 Fax: 513-584-1559 | |
Brett M Coldiron, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3024 Burnet Ave, Cincinnati, OH 45219 Phone: 513-221-2828 Fax: 513-872-5721 | |
Dr. Richard S Moraites, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 7717 Montgomery Road, Cincinnati, OH 45236 Phone: 513-793-4021 Fax: 513-793-4078 |