Manuel Paulin Lucero, MD | |
2121a Bellevue Rd, Dublin, GA 31021 | |
(478) 272-1190 | |
(478) 274-7628 |
Full Name | Manuel Paulin Lucero |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 2121a Bellevue Rd, Dublin, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902883903 | NPI | - | NPPES |
300030912A | Medicaid | GA | |
00606284H | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 029031 (Georgia) | Primary |
Entity Name | Caring Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861007403 PECOS PAC ID: 3779993910 Enrollment ID: O20201029001507 |
Mailing Address | Practice Location Address |
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Manuel Paulin Lucero, MD 2121a Bellevue Rd, Dublin, GA 31021 Ph: (478) 272-1190 | Manuel Paulin Lucero, MD 2121a Bellevue Rd, Dublin, GA 31021 Ph: (478) 272-1190 |
Dr. Revathi Nagabhairu Koneru, M.D Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1826 Veterans Blvd, Dublin, GA 31021 Phone: 478-272-1210 | |
Dr. David Monroe Nichols, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1826 Veterans Blvd, Dublin, GA 31021 Phone: 478-272-1210 | |
A. James Giannini, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2121a Bellevue Rd, Dublin, GA 31021 Phone: 478-272-1190 Fax: 478-274-7628 | |
Dr. Thomas Reid Rumble, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2121a Bellevue Rd, Dublin, GA 31021 Phone: 478-272-1190 Fax: 478-274-7628 | |
Thein Lwin, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2121a Bellevue Rd, Csb Of Middle Georgia, Dublin, GA 31021 Phone: 478-272-1190 Fax: 478-274-7628 | |
Newton W Chism Jr., MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2400 Bellevue Rd, #23 Erin Office Park, Dublin, GA 31021 Phone: 478-272-8580 Fax: 478-275-0012 | |
Leena Fatima Kizilbash, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1826 Veterans Blvd, Dublin, GA 31021 Phone: 800-562-8663 |