Thomas M. Lucas Iv, O.d., Inc. is a medicare enrolled "Optometrist" provider in Cloverdale, California. Their current practice location is
112 W 1st St, Cloverdale, California. You can reach out to their office (for appointments etc.) via phone at
(707) 894-3936.
Thomas M. Lucas Iv, O.d., Inc. is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Thomas M. Lucas Iv, O.d., Inc.
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1760115513.
Healthcare Provider's Profile
| Full Name | Thomas M. Lucas Iv, O.d., Inc. |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 112 W 1st St, Cloverdale, California |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1760115513
- Provider Enumeration Date: 07/07/2022
- Last Update Date: 05/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 4284019035
- Enrollment ID: O20220915001575
Medical Identifiers
Medical identifiers for Thomas M. Lucas Iv, O.d., Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1760115513 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Thomas M. Lucas Iv, O.d., Inc. acts as a billing entity for following providers:
| Provider Name | Thomas Mark Lucas |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1558929992
PECOS PAC ID: 8123356417
Enrollment ID: I20190823002905 |
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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. Thomas M. Lucas Iv, O.d., Inc. 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 |
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Thomas M. Lucas Iv, O.d., Inc.
112 W 1st St,
Cloverdale, CA 95425-3607
Ph: () - | Thomas M. Lucas Iv, O.d., Inc.
112 W 1st St,
Cloverdale, CA 95425-3607
Ph: (707) 894-3936 |
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