Ms Jean Marie Luck, PA is a
Physician Assistant - Medical based in Green Valley Lake, California. Ms Jean Marie Luck is licensed to practice in California (license number CAPA15505) and her current practice location is
33420 Robindr., Green Valley Lake, California. She can be reached at her office (for appointments etc.) via phone at
(909) 379-9894.
NPI number for Ms Jean Marie Luck is 1740322619 and her current mailing address is Po Box 8327, Green Valley Lake, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1740322619.
Provider's Profile
Full Name | Ms Jean Marie Luck |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | 33420 Robindr., Green Valley Lake, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1740322619
- Provider Enumeration Date: 02/13/2007
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Ms Jean Marie Luck such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740322619 | NPI | - | NPPES |
CAPA15505 | Medicaid | CA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | CAPA15505 (California) | 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. Ms Jean Marie Luck is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Jean Marie Luck, PA Po Box 8327, Green Valley Lake, CA 92341-8327 Ph: (909) 379-9894 | Ms Jean Marie Luck, PA 33420 Robindr., Green Valley Lake, CA 92341-8327 Ph: (909) 379-9894 |
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