Lucas Michal Anderson, is a medicare enrolled "Physician Assistant" in Watauga, Texas. His current practice location is
6317 N Park Dr, Watauga, Texas. You can reach out to his office (for appointments etc.) via phone at
(707) 738-0510.
Lucas Michal Anderson is licensed to practice in Texas (license number PA14846) 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 1396121646.
Provider's Profile
| Full Name | Lucas Michal Anderson |
|---|
| Gender | Male |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 6317 N Park Dr, Watauga, Texas |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1396121646
- Provider Enumeration Date: 08/09/2015
- Last Update Date: 11/13/2022
Medicare PECOS Information:
- PECOS PAC ID: 2264732148
- Enrollment ID: I20220322003385
Medical Identifiers
Medical identifiers for Lucas Michal Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396121646 | NPI | - | NPPES |
| LA1225 | Medicaid | NV | |
| 1396121646 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | 52540 (California) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA1668 (Nevada) | Secondary |
| 363A00000X | Physician Assistant | PA14846 (Texas) | 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. Lucas Michal Anderson 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 |
|---|
Lucas Michal Anderson,
6317 N Park Dr,
Watauga, TX 76148-1321
Ph: (707) 738-0510 | Lucas Michal Anderson,
6317 N Park Dr,
Watauga, TX 76148-1321
Ph: (707) 738-0510 |
Reviews and Comments