Mr Enrique D Chappilliquen Lucio, PA-C is a medicare enrolled "Physician Assistant" in Union City, New Jersey. He went to Mercy College and graduated in 2016 and has 8 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Advanced Garden State Cardiology Llc and his current practice location is
3916 Kennedy Blvd, Union City, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(201) 624-1877.
Mr Enrique D Chappilliquen Lucio is licensed to practice in New Jersey (license number 25MP00411000) 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 1801345046.
Provider's Profile
| Full Name | Mr Enrique D Chappilliquen Lucio |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 8 Years |
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| Location | 3916 Kennedy Blvd, Union City, New Jersey |
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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:
- Mr Enrique D Chappilliquen Lucio attended and graduated from Mercy College in 2016
NPI Data:
- NPI Number: 1801345046
- Provider Enumeration Date: 09/29/2016
- Last Update Date: 09/29/2016
Medicare PECOS Information:
- PECOS PAC ID: 7810166535
- Enrollment ID: I20180412002375
Medical Identifiers
Medical identifiers for Mr Enrique D Chappilliquen Lucio such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801345046 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 25MP00411000 (New Jersey) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Advanced Garden State Cardiology Llc | 3375675036 | 10 |
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. Mr Enrique D Chappilliquen Lucio 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 |
|---|
Mr Enrique D Chappilliquen Lucio, PA-C
550 Newark Ave, Suite 307,
Jersey City, NJ 07306-1326
Ph: (201) 418-0048 | Mr Enrique D Chappilliquen Lucio, PA-C
3916 Kennedy Blvd,
Union City, NJ 07087-2608
Ph: (201) 624-1877 |
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