Kelly J Lueck, FNP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Gilbert, Arizona. Her current practice location is
2946 E Banner Gateway Dr, Gilbert, Arizona. You can reach out to her office (for appointments etc.) via phone at
(480) 256-6444.
Kelly J Lueck is licensed to practice in Oregon (license number 201610216NP-PP) 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 1578815809.
Physician's Profile
Full Name | Kelly J Lueck |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 2946 E Banner Gateway Dr, Gilbert, Arizona |
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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:
- Kelly J Lueck attended and graduated from in
NPI Data:
- NPI Number: 1578815809
- Provider Enumeration Date: 10/10/2012
- Last Update Date: 02/08/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Kelly J Lueck such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578815809 | NPI | - | NPPES |
500729417 | Medicaid | OR | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | TAP4690 (Arizona) | Secondary |
208D00000X | General Practice | 201610216NP-PP (Oregon) | Secondary |
208D00000X | General Practice | TAP4690 (Arizona) | Secondary |
363LP2300X | Nurse Practitioner - Primary Care | TAP4690 (Arizona) | Secondary |
363LF0000X | Nurse Practitioner - Family | 201610216NP-PP (Oregon) | 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. Kelly J Lueck 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 |
Kelly J Lueck, FNP-C Po Box 6095, Bend, OR 97708-6095 Ph: (541) 706-5922 | Kelly J Lueck, FNP-C 2946 E Banner Gateway Dr, Gilbert, AZ 85234-2165 Ph: (480) 256-6444 |
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