Dr Kyle G Luecke, MD | |
1200 7th Ave N, St Petersburg, FL 33705-1300 | |
(727) 825-1100 | |
Not Available |
Full Name | Dr Kyle G Luecke |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 11 Years |
Location | 1200 7th Ave N, St Petersburg, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063754729 | NPI | - | NPPES |
LN182 | Other | FL | FL MEDICARE PTAN |
OBE1C | Other | FL | FL BCBS |
103610100 | Medicaid | FL | |
P02293237 | Other | FL | FL RAILROAD MEDICARE PTAN |
1063754729 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 0101264153 (Virginia) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | ME140753 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Anthonys Hospital | Saint petersburg, FL | Hospital |
St Josephs Hospital | Tampa, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Radiology Associates Of St Petersburg Pa | 2365413242 | 19 |
St Anthonys Professional Buildings And Services Inc | 6507849239 | 21 |
Entity Name | St Anthonys Professional Buildings & Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639150063 PECOS PAC ID: 6507849239 Enrollment ID: O20040611001120 |
Entity Name | Radiology Associates Of St Petersburg Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922012244 PECOS PAC ID: 2365413242 Enrollment ID: O20060206000647 |
Mailing Address | Practice Location Address |
---|---|
Dr Kyle G Luecke, MD Po Box 919379, Orlando, FL 32891-0001 Ph: (844) 453-1406 | Dr Kyle G Luecke, MD 1200 7th Ave N, St Petersburg, FL 33705-1300 Ph: (727) 825-1100 |
Dr. Richard A. Leverone, DC Radiology Medicare: Not Enrolled in Medicare Practice Location: 5136 Central Ave, St Petersburg, FL 33707 Phone: 727-579-2500 Fax: 727-579-3433 | |
Natalia Dolin, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 501 6th St S, St Petersburg, FL 33701 Phone: 727-767-3318 | |
Dr. John J. O'brien, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 747 6th Ave S, St Petersburg, FL 33701 Phone: 727-898-3647 | |
Dr. Vincent B Rowley, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1200 7th Ave N, St Petersburg, FL 33705 Phone: 727-825-1100 | |
Dr. Matthew J Rahaim, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1200 7th Ave N, St Petersburg, FL 33705 Phone: 727-825-1100 Fax: 727-827-5155 | |
Dr. Lowell Dean Dawson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 603 7th St S Ste 400, St Petersburg, FL 33701 Phone: 727-893-6435 Fax: 727-893-6436 | |
Sally E Mitchell, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 501 6th Ave S, St Petersburg, FL 33701 Phone: 727-767-3318 |