Judith Kassner Lucas, MD | |
1600 Sw Archer Rd, Gainesville, FL 32610-3003 | |
(352) 265-5911 | |
(352) 265-5606 |
Full Name | Judith Kassner Lucas |
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Gender | Female |
Speciality | Pediatrics - Pediatric Emergency Medicine |
Location | 1600 Sw Archer Rd, Gainesville, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952407835 | NPI | - | NPPES |
253472000 | Medicaid | FL | |
42767 | Other | FL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0204X | Pediatrics - Pediatric Emergency Medicine | ME0075032 (Florida) | Secondary |
2080P0204X | Pediatrics - Pediatric Emergency Medicine | ME75032 (Florida) | Primary |
Entity Name | Florida Clinical Practice Association Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099 |
Mailing Address | Practice Location Address |
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Judith Kassner Lucas, MD Po Box 13833, Philadelphia, PA 19101-3833 Ph: () - | Judith Kassner Lucas, MD 1600 Sw Archer Rd, Gainesville, FL 32610-3003 Ph: (352) 265-5911 |
Dr. Bahareh Ebadifar Keith, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-0462 Fax: 352-273-6250 | |
Jose Maria Cardenas Fimbres, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd Fl 32610, Gainesville, FL 32610 Phone: 915-803-1159 | |
Stephen Smyth Beebe, MD FACP Pediatrics Medicare: Medicare Enrolled Practice Location: 6440 W Newberry Rd, #402, Gainesville, FL 32605 Phone: 352-333-5500 Fax: 352-333-5506 | |
Kristin Alexandra Dayton, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-9001 | |
Neel Kamal Singh, Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-9011 | |
Donald J Fillipps, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0451 Fax: 352-392-9802 | |
Sarah Tatum Ritchie, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32601 Phone: 352-273-5400 Fax: 352-273-5260 |