Thomas John Luckey, MD | |
8700 Sudley Rd, Manassas, VA 20110-4418 | |
(703) 369-8337 | |
Not Available |
Full Name | Thomas John Luckey |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 8700 Sudley Rd, Manassas, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003949330 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 0101243613 (Virginia) | Primary |
207P00000X | Emergency Medicine | MD436552 (Pennsylvania) | Secondary |
Entity Name | Emergency Medicine Associates Pa Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134117393 PECOS PAC ID: 8022914522 Enrollment ID: O20031208000283 |
Mailing Address | Practice Location Address |
---|---|
Thomas John Luckey, MD 20010 Century Blvd, Ste 200, Germantown, MD 20874-1115 Ph: (240) 686-2300 | Thomas John Luckey, MD 8700 Sudley Rd, Manassas, VA 20110-4418 Ph: (703) 369-8337 |
Eric John Ahlers, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8700 Sudley Rd, Manassas, VA 20110 Phone: 703-369-8000 | |
James R Rosenthal, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8700 Sudley Rd, Prince William Hospital, Manassas, VA 20110 Phone: 703-369-8337 Fax: 703-369-8868 | |
Frank L Nuar, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8700 Sudley Road, Prince William Hospital, Manassas, VA 20110 Phone: 703-369-8337 Fax: 703-369-8868 | |
Dr. Alexander Tiesi, M.D Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8700 Sudley Rd, Manassas, VA 20110 Phone: 703-369-8000 | |
Stephen M Smith, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8700 Sudley Rd, Manassas, VA 20110 Phone: 240-686-2300 | |
Joseph A Zurlo, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 8700 Sudley Rd, Prince William Hospital, Manassas, VA 20110 Phone: 703-369-8337 Fax: 703-369-8868 |