Mr Kevin Timothy Lucas, OTRL | |
3102 Nw Alberta, Bentonville, AR 72712-8428 | |
(479) 685-3404 | |
Not Available |
Full Name | Mr Kevin Timothy Lucas |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | 3102 Nw Alberta, Bentonville, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053466375 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OTR1977 (Arkansas) | Primary |
Provider Name | Legacy Healthcare Services Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1023684370 PECOS PAC ID: 2163339722 Enrollment ID: O20210825003977 |
Mailing Address | Practice Location Address |
---|---|
Mr Kevin Timothy Lucas, OTRL 3102 Nw Alberta, Bentonville, AR 72712-8428 Ph: (479) 685-3404 | Mr Kevin Timothy Lucas, OTRL 3102 Nw Alberta, Bentonville, AR 72712-8428 Ph: (479) 685-3404 |
Tabitha Dawn Cooper, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1601 Greenhouse Rd, Bentonville, AR 72713 Phone: 479-795-1260 Fax: 479-795-1261 | |
Mrs. Callie Antuna, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Tiger Blvd, Bentonville, AR 72712 Phone: 479-254-5065 | |
Dr. Olivia Claire Brown, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1601 Greenhouse Rd, Bentonville, AR 72713 Phone: 479-795-1260 | |
Maggie B Grymes, OTD Occupational Therapist Medicare: Medicare Enrolled Practice Location: 3201 Sw Regency Pkwy Ste 5, Bentonville, AR 72712 Phone: 479-252-3321 | |
Amanda Locknar, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3108 Sw Regency Pkwy Ste 5, Bentonville, AR 72712 Phone: 479-430-1023 Fax: 479-668-2257 | |
Molly Mcgehee, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2703 Se Otis Corley Dr Ste 11, Bentonville, AR 72712 Phone: 479-339-9678 Fax: 317-520-8200 |