| Mr James Lutz Jr, DO | |
|
135 Wade Owens Rd N, Stanford, KY 40484-6528 | |
| (606) 669-6006 | |
| (606) 661-0141 |
| Full Name | Mr James Lutz Jr |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 135 Wade Owens Rd N, Stanford, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922689629 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 05600 (Kentucky) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Entity Name | Cumberland Family Medical Center, Inc.. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306873500 PECOS PAC ID: 6305947789 Enrollment ID: O20120221000433 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr James Lutz Jr, DO Po Box 1080, Burkesville, KY 42717-1080 Ph: (270) 858-6655 | Mr James Lutz Jr, DO 135 Wade Owens Rd N, Stanford, KY 40484-6528 Ph: (606) 669-6006 |
Brittany M Hager, APRN FNP-BC Family Medicine Medicare: Medicare Enrolled Practice Location: 125 Portman Ave, Stanford, KY 40484 Phone: 606-365-3378 Fax: 859-239-6907 | |
Dr. C. Glen Click, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 126 Portman Ave, Stanford, KY 40484 Phone: 606-365-9181 Fax: 606-365-9183 | |
Mr. James Alvin Miller Iii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Jay Street, Stanford, KY 40484 Phone: 606-365-1547 Fax: 606-365-8380 | |
Mr. Christopher Duvall Sims, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Jay Street, Stanford, KY 40484 Phone: 606-365-1547 Fax: 606-365-8380 | |
Judith A Anderson Sherman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 Metker Trl, Stanford, KY 40484 Phone: 606-365-3360 Fax: 606-365-9378 | |
Mr. Rodney Kent Bates, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Jay Street, Stanford, KY 40484 Phone: 606-365-1547 Fax: 606-365-8380 | |
Charles Crase, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 116 Metker Trl, Stanford, KY 40484 Phone: 859-239-2379 Fax: 859-239-6898 |