Braxton Lucero, in Belleville, NJ - Medicare Physician Assistant

Braxton Lucero, is a medicare enrolled "Physician Assistant" in Belleville, New Jersey. His current practice location is 1 Clara Maass Dr, Belleville, New Jersey. You can reach out to his office (for appointments etc.) via phone at (973) 450-2000.

Braxton Lucero is licensed to practice in New Jersey (license number 25MP00534400) 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 1629633797.

Contact Information

	Braxton Lucero,
	1 Clara Maass Dr, Belleville, NJ 07109-3550
	(973) 450-2000
	Not Available

Map and Direction

Provider's Profile

Full Name	Braxton Lucero
Gender	Male
Speciality	Physician Assistant
Location	1 Clara Maass Dr, Belleville, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629633797
Provider Enumeration Date: 05/04/2019
Last Update Date: 08/20/2019

Medicare PECOS Information:

PECOS PAC ID: 7911236385
Enrollment ID: I20190910002224

Medical Identifiers

Medical identifiers for Braxton Lucero such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629633797	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	25MP00534400 (New Jersey)	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. Braxton Lucero 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
Braxton Lucero, 30 Ardsley Ct, East Brunswick, NJ 08816-3673 Ph: (801) 458-9687	Braxton Lucero, 1 Clara Maass Dr, Belleville, NJ 07109-3550 Ph: (973) 450-2000

Reviews and Comments

Physician Assistant Nurses in Belleville, NJ

Miss Lucknie Ovincy, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 50 Newark Ave, Belleville, NJ 07109 Phone: 973-751-2060
Jurga Marshall, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 1 Clara Maass Dr, Clara Maass Medical Center, Belleville, NJ 07109 Phone: 973-450-2000
Lellas Alhallak, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1 Clara Maass Dr, Belleville, NJ 07109 Phone: 973-450-2000
James Pormentilla, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Clara Maass Dr, Clara Maass Medical Center, Belleville, NJ 07109 Phone: 973-450-2000 Fax: 973-251-1109
Alexandria Mary Zummo, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Clara Maass Dr, Belleville, NJ 07109 Phone: 973-450-2000
Jessica Rochelle Lansky, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Clara Maass Dr, Belleville, NJ 07109 Phone: 973-450-2100
Kedar Jani, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1 Clara Maass Dr, Belleville, NJ 07109 Phone: 973-450-2000

Braxton Lucero, - Medicare Physician Assistant in Belleville, NJ