Lucas C Reichert, CRNA | |
1126 W Grayhawk Loop, Roosevelt, UT 84066-1209 | |
(207) 659-8756 | |
Not Available |
Full Name | Lucas C Reichert |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 14 Years |
Location | 1126 W Grayhawk Loop, Roosevelt, Utah |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497067888 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | AA103014 (Maine) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 4967790-4406 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Uintah Basin Medical Center | Roosevelt, UT | Hospital |
Eastern Maine Medical Center | Bangor, ME | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Eastern Maine Medical Center | 2062315161 | 588 |
Ubmc Anesthesiology | 4981833381 | 4 |
Entity Name | Eastern Maine Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790789147 PECOS PAC ID: 2062315161 Enrollment ID: O20040128000088 |
Mailing Address | Practice Location Address |
---|---|
Lucas C Reichert, CRNA 1126 W Grayhawk Loop, Roosevelt, UT 84066-1209 Ph: (207) 659-8756 | Lucas C Reichert, CRNA 1126 W Grayhawk Loop, Roosevelt, UT 84066-1209 Ph: (207) 659-8756 |
Allen Wallace, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 250 W 300 N, Roosevelt, UT 84066 Phone: 435-722-6163 Fax: 435-722-9291 | |
Trent Bell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 250 W 300 N, Roosevelt, UT 84066 Phone: 435-722-6163 Fax: 435-722-9291 | |
Frank Guercio, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 250 W 300 N, Roosevelt, UT 84066 Phone: 435-722-6163 Fax: 435-722-9291 | |
Steven R Knight, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 250 W 300 N, Roosevelt, UT 84066 Phone: 435-722-6163 Fax: 435-722-9291 |