| Lucas Boone, | |
|
2400 Gordon Smith Dr, Mobile, AL 36617-2319 | |
| (251) 473-4423 | |
| Not Available |
| Full Name | Lucas Boone |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2400 Gordon Smith Dr, Mobile, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134651102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD.37596 (Alabama) | Primary |
| Entity Name | Altapointe Health Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518095413 PECOS PAC ID: 1052224052 Enrollment ID: O20040206000701 |
| Entity Name | Bhg Lxxiii Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568061307 PECOS PAC ID: 9335552298 Enrollment ID: O20210113002937 |
| Entity Name | Bhg Lxxii Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699440149 PECOS PAC ID: 5597178244 Enrollment ID: O20210119002422 |
| Mailing Address | Practice Location Address |
|---|---|
| Lucas Boone, 5750a Southland Dr, Mobile, AL 36693-3316 Ph: (251) 450-5916 | Lucas Boone, 2400 Gordon Smith Dr, Mobile, AL 36617-2319 Ph: (251) 473-4423 |
Miriam Maite Sevilla Saez-benito, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 5800 Southland Dr, Mobile, AL 36693 Phone: 251-662-7974 | |
Dr. Ahmer Israr, DO Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2451 University Hospital Dr Rm 714, Mobile, AL 36617 Phone: 251-660-2360 Fax: 251-461-3494 | |
Christopher Lacy Jenkins, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 576 Azalea Rd, Suite 105, Mobile, AL 36609 Phone: 251-665-5360 Fax: 251-665-5361 | |
Dr. Juan Gonzalo Ochoa, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1601 Center Street, Ste. 2s, Mobile, AL 36604 Phone: 251-660-5108 Fax: 251-660-5792 | |
Dr. Ilyas Ahmed Shaikh, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4325 Downtowner Loop N, Mobile, AL 36609 Phone: 251-460-9095 Fax: 251-460-4666 | |
Dr. Shanthi Gatla, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1015 Montlimar Dr, A-210, Mobile, AL 36609 Phone: 251-450-4359 Fax: 251-450-4323 | |
Dr. Mark Alan Haygood, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3209 Midtown Park S, Mobile, AL 36606 Phone: 251-525-9090 Fax: 251-525-9091 |