Sonia Gordon Luckey, DNP, APRN in San Clemente, CA

Sonia Gordon Luckey, DNP, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in San Clemente, California. Her current practice location is 638 Camino De Los Mares, San Clemente, California. You can reach out to her office (for appointments etc.) via phone at (949) 494-8426.

Sonia Gordon Luckey is licensed to practice in California (license number RN449787) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1093242851.

Contact Information

	Sonia Gordon Luckey, DNP, APRN
	638 Camino De Los Mares, San Clemente, CA 92673
	(949) 494-8426
	Not Available

Map and Direction

Provider's Profile

Full Name	Sonia Gordon Luckey
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	638 Camino De Los Mares, San Clemente, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093242851
Provider Enumeration Date: 05/11/2017
Last Update Date: 04/16/2021

Medicare PECOS Information:

PECOS PAC ID: 4880963511
Enrollment ID: I20191219002080

Medical Identifiers

Medical identifiers for Sonia Gordon Luckey such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093242851	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	202000873 (Oregon)	Secondary
363LF0000X	Nurse Practitioner - Family	AP60944156 (Washington)	Secondary
363LF0000X	Nurse Practitioner - Family	RN449787 (California)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	RN449787 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Sonia Gordon Luckey allows following entities to bill medicare on her behalf.

Entity Name	Providence Facey Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710031588 PECOS PAC ID: 3173436276 Enrollment ID: O20031105000822

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. Sonia Gordon Luckey 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
Sonia Gordon Luckey, DNP, APRN 503 Via Deseo, San Clemente, CA 92672-2462 Ph: (714) 822-7195	Sonia Gordon Luckey, DNP, APRN 638 Camino De Los Mares, San Clemente, CA 92673 Ph: (949) 494-8426

Reviews and Comments

Nurse Practitioner Nurses in San Clemente, CA

Katarzyna Anna Hudson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 638 Camino De Los Mares, San Clemente, CA 92673 Phone: 714-348-6790
Mrs. Kellie Christine Atkins, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 111 Via Plumosa, San Clemente, CA 92673 Phone: 949-291-9617
Dr. Bimisa Chata Augustin, DNP, MSN, APRN,FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2719 S El Camino Real, San Clemente, CA 92672 Phone: 737-377-1600 Fax: 949-569-1295
Shellie Dean Graves, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5000 Pacific Coast Hwy, San Clemente, CA 92674 Phone: 949-531-0963
Mrs. Victoria Lynn Whalen, APRN, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 638 Camino De Los Mares, San Clemente, CA 92673 Phone: 866-389-2727
Linda Marie Long, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 187 Avenida La Pata, San Clemente, CA 92673 Phone: 949-528-4758 Fax: 949-288-0432

Sonia Gordon Luckey, DNP, APRN - Medicare Nurse Practitioner in San Clemente, CA