Luke Gibson Renner, is a medicare enrolled "General Practice" physician in Hamburg, Pennsylvania. His current practice location is
700 Hawk Ridge Dr, Hamburg, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(610) 562-3066.
Luke Gibson Renner is licensed to practice in Pennsylvania (license number OT020721) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1093380131.
Physician's Profile
Full Name | Luke Gibson Renner |
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Gender | Male |
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Speciality | General Practice |
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Location | 700 Hawk Ridge Dr, Hamburg, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1093380131
- Provider Enumeration Date: 05/21/2021
- Last Update Date: 05/21/2021
Medicare PECOS Information:
- PECOS PAC ID: 7618352881
- Enrollment ID: I20220924000008
Medical Identifiers
Medical identifiers for Luke Gibson Renner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093380131 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | OT020721 (Pennsylvania) | 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. Luke Gibson Renner 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 |
Luke Gibson Renner, 2787 Bridle Path St, Slatington, PA 18080-4033 Ph: (484) 226-5815 | Luke Gibson Renner, 700 Hawk Ridge Dr, Hamburg, PA 19526-9219 Ph: (610) 562-3066 |
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