Dr Stephenie M Lucas, MD is a medicare enrolled "General Practice" physician in Saint Clair Shores, Michigan. She went to Wayne State University School Of Medicine and graduated in 1972 and has 52 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Center For Preventive Medicine Pc and her current practice location is
22631 Greater Mack Ave, Suite 100, Saint Clair Shores, Michigan. You can reach out to her office (for appointments etc.) via phone at
(586) 771-0100.
Dr Stephenie M Lucas is licensed to practice in Michigan (license number SL032256) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1023116068.
Physician's Profile
Full Name | Dr Stephenie M Lucas |
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Gender | Female |
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Speciality | Internal Medicine |
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Experience | 52 Years |
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Location | 22631 Greater Mack Ave, Saint Clair Shores, Michigan |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Stephenie M Lucas attended and graduated from Wayne State University School Of Medicine in 1972
NPI Data:
- NPI Number: 1023116068
- Provider Enumeration Date: 09/21/2006
- Last Update Date: 06/24/2010
Medicare PECOS Information:
- PECOS PAC ID: 4284772948
- Enrollment ID: I20110110000076
Medical Identifiers
Medical identifiers for Dr Stephenie M Lucas such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023116068 | NPI | - | NPPES |
2713258 | Medicaid | MI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | SL032256 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Center For Preventive Medicine Pc | 5294873956 | 3 |
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 Stephenie M Lucas allows following entities to bill medicare on her behalf.
Entity Name | Center For Preventive Medicine Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174719025 PECOS PAC ID: 5294873956 Enrollment ID: O20091117000620 |
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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 Stephenie M Lucas 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 Stephenie M Lucas, MD Po Box 44047, Detroit, MI 48244-0047 Ph: (248) 584-0240 | Dr Stephenie M Lucas, MD 22631 Greater Mack Ave, Suite 100, Saint Clair Shores, MI 48080-2055 Ph: (586) 771-0100 |
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