Dr Tina Charlette Lucas-glass, MD is a medicare enrolled "Ophthalmology" physician in Smyrna, Georgia. Her current practice location is
3969 S Cobb Dr Se, Suite 105, Smyrna, Georgia. You can reach out to her office (for appointments etc.) via phone at
(770) 434-9324.
Dr Tina Charlette Lucas-glass is licensed to practice in Georgia (license number 045285) 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 1336232750.
Physician's Profile
| Full Name | Dr Tina Charlette Lucas-glass |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 3969 S Cobb Dr Se, Smyrna, Georgia |
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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. |
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Medical Education and Training:
- Dr Tina Charlette Lucas-glass attended and graduated from in
NPI Data:
- NPI Number: 1336232750
- Provider Enumeration Date: 09/30/2006
- Last Update Date: 12/04/2013
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Tina Charlette Lucas-glass such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336232750 | NPI | - | NPPES |
| 000802348E | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207W00000X | Ophthalmology | 045285 (Georgia) | Primary |
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 Tina Charlette Lucas-glass 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 Tina Charlette Lucas-glass, MD
Po Box 813595,
Smyrna, GA 30081-8595
Ph: (770) 434-9324 | Dr Tina Charlette Lucas-glass, MD
3969 S Cobb Dr Se, Suite 105,
Smyrna, GA 30080-6358
Ph: (770) 434-9324 |
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