William David Lucky Sr, MD is a medicare enrolled "Specialist" physician in Homestead, Florida. He went to University Of Miami, Lm Miller School Of Medicine and graduated in 1975 and has 49 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Nautilus Health Care Group Llc and his current practice location is
125 Ne 8th St, Suite 4, Homestead, Florida. You can reach out to his office (for appointments etc.) via phone at
(305) 238-3990.
William David Lucky Sr is licensed to practice in Florida (license number 0029049) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1538168075.
Physician's Profile
| Full Name | William David Lucky Sr |
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| Gender | Male |
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| Speciality | Obstetrics/gynecology |
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| Experience | 49 Years |
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| Location | 125 Ne 8th St, Homestead, Florida |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- William David Lucky Sr attended and graduated from University Of Miami, Lm Miller School Of Medicine in 1975
NPI Data:
- NPI Number: 1538168075
- Provider Enumeration Date: 07/18/2005
- Last Update Date: 09/24/2019
Medicare PECOS Information:
- PECOS PAC ID: 8820068794
- Enrollment ID: I20040729000884
Medical Identifiers
Medical identifiers for William David Lucky Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538168075 | NPI | - | NPPES |
| K5918 | Other | FL | MEDICARE GROUP PROVIDER N |
| K5918C | Other | FL | GROUP PTAN FL MEDICARE |
| 038136500 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2083P0011X | Preventive Medicine - Undersea And Hyperbaric Medicine | ME29049 (Florida) | Secondary |
| 174400000X | Specialist | 0029049 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Nautilus Health Care Group Llc | 5991604852 | 44 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. William David Lucky Sr allows following entities to bill medicare on his behalf.
| Entity Name | Nautilus Health Care Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912013558
PECOS PAC ID: 5991604852
Enrollment ID: O20040108000803 |
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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. William David Lucky Sr 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 |
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William David Lucky Sr, MD
13727 Sw 152nd St, #104,
Miami, FL 33177-1106
Ph: (305) 238-3990 | William David Lucky Sr, MD
125 Ne 8th St, Suite 4,
Homestead, FL 33030-4676
Ph: (305) 238-3990 |
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