Gary M Lucchesi, MD | |
105 S Main St Ste 4, Templeton, CA 93465-9601 | |
(805) 434-1869 | |
Not Available |
Full Name | Gary M Lucchesi |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 105 S Main St Ste 4, Templeton, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861450348 | NPI | - | NPPES |
00G839240 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207PE0004X | Emergency Medicine - Emergency Medical Services | G83924 (California) | Secondary |
207P00000X | Emergency Medicine | G83924 (California) | Primary |
Entity Name | Central Coast Emergency Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972535557 PECOS PAC ID: 9234114067 Enrollment ID: O20040623001681 |
Mailing Address | Practice Location Address |
---|---|
Gary M Lucchesi, MD 6729 Monte Rd, San Luis Obispo, CA 93401-8050 Ph: (805) 602-0164 | Gary M Lucchesi, MD 105 S Main St Ste 4, Templeton, CA 93465-9601 Ph: (805) 434-1869 |
George P. Lum, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 Las Tablas Rd, Templeton, CA 93465 Phone: 805-434-3500 | |
Raul Benjamin Easton-carr, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 Las Tablas Rd, Templeton, CA 93465 Phone: 805-434-1869 | |
Ed L Coughlin, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1100 Las Tablas Rd, Templeton, CA 93465 Phone: 805-546-7650 | |
Steven N Benaron, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1100 Las Tablas Rd, Templeton, CA 93465 Phone: 805-546-7650 | |
Gregory J. Frye, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1100 Las Tablas Rd, Templeton, CA 93465 Phone: 805-546-7650 | |
Thomas Hale, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1100 Las Tablas Rd, Templeton, CA 93465 Phone: 805-434-3500 | |
Reynaldo Madrid Cordero, M.D. Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 350 Posada Ln, Ste. 102, Templeton, CA 93465 Phone: 805-434-3699 Fax: 805-434-4864 |