Kent G Lucchesi, MD | |
600 East Blvd, Elkhart, IN 46514 | |
(574) 523-3193 | |
(574) 523-3464 |
Full Name | Kent G Lucchesi |
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Gender | Male |
Speciality | Anesthesiology |
Location | 600 East Blvd, Elkhart, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942231691 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 01040256 (Indiana) | Primary |
Entity Name | Northern Indiana Anesthesia Services, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083639660 PECOS PAC ID: 1456321413 Enrollment ID: O20040727001614 |
Mailing Address | Practice Location Address |
---|---|
Kent G Lucchesi, MD 7 Parkway Ctr, Suite 375, Pittsburgh, PA 15220 Ph: (412) 937-5700 | Kent G Lucchesi, MD 600 East Blvd, Elkhart, IN 46514 Ph: (574) 523-3193 |
Dana Hoffman, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 500 N Nappanee St, Suite 11b, Elkhart, IN 46514 Phone: 574-522-9922 | |
Dr. Jasveer Grewal, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 700 E Beardsley Ave Ste 4b, Elkhart, IN 46514 Phone: 574-304-1519 Fax: 574-350-2441 | |
Yaksha Thakrar, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3080 Windsor Ct Suite B, Elkhart, IN 46514 Phone: 574-266-7817 | |
David A Beatty, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2310 California Road, Elkhart, IN 46514 Phone: 574-264-4163 Fax: 574-262-9650 | |
Tia Reardon, CRNA Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 500 N Nappanee St Ste 11b, Elkhart, IN 46514 Phone: 574-522-9922 Fax: 574-552-9926 | |
Gregory Scott Nowak, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3080 Windsor Ct, Suite B, Elkhart, IN 46514 Phone: 574-266-7817 Fax: 574-266-7943 | |
Mr. Henry Coyne Woodward, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 600 East Blvd, Elkhart, IN 46514 Phone: 574-523-3232 Fax: 574-523-3234 |