Jeanne M Lukanich, MD | |
2 Medical Center Dr, Suite 205, Springfield, MA 01107-1270 | |
(413) 794-8050 | |
(413) 794-8054 |
Full Name | Jeanne M Lukanich |
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Gender | Female |
Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
Location | 2 Medical Center Dr, Springfield, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679547277 | NPI | - | NPPES |
3159388 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 151984 (Massachusetts) | Primary |
Entity Name | Pratt Surgical Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912944182 PECOS PAC ID: 4486546082 Enrollment ID: O20040329000139 |
Mailing Address | Practice Location Address |
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Jeanne M Lukanich, MD 280 Chestnut Street, 2nd Floor, Springfield, MA 01199-1619 Ph: (413) 794-5700 | Jeanne M Lukanich, MD 2 Medical Center Dr, Suite 205, Springfield, MA 01107-1270 Ph: (413) 794-8050 |
Dr. Siavash Saadat, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 2 Medical Center Dr Ste 512, Springfield, MA 01107 Phone: 413-794-5550 Fax: 413-794-4212 | |
Dr. John A. Rousou, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 759 Chestnut St, Springfield, MA 01107 Phone: 413-794-5550 Fax: 413-794-4212 | |
Dr. Alfred O Adegboyegun, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 759 Chestnut St, Springfield, MA 01107 Phone: 413-794-5550 Fax: 413-794-4212 | |
Dr. David W. Deaton, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 2 Medical Center Dr Ste 512, Springfield, MA 01107 Phone: 413-794-5550 Fax: 413-794-4212 | |
Daniel T. Engelman, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 2 Medical Center Dr Ste 512, Springfield, MA 01107 Phone: 413-794-5550 Fax: 413-794-4212 | |
David Andrew Bull, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 2 Medical Center Dr Ste 512, Springfield, MA 01107 Phone: 413-794-5550 Fax: 413-794-4212 | |
Dr. Kelly M Wanamaker, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 2 Medical Center Dr Ste 512, Springfield, MA 01107 Phone: 413-794-5550 Fax: 413-794-4212 |