Ethel Roman Lucero, PT in Van Nuys, CA - Medicare Physical Therapist Provider

Ethel Roman Lucero, PT is a medicare enrolled "Physical Therapist" provider in Van Nuys, California. Her current practice location is 14624 Sherman Way, 201, Van Nuys, California. You can reach out to her office (for appointments etc.) via phone at (818) 988-8410.

Ethel Roman Lucero is licensed to practice in California (license number 28150) 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 1093786154.

Contact Information

	Ethel Roman Lucero, PT
	14624 Sherman Way, 201, Van Nuys, CA 91405-2241
	(818) 988-8410
	(818) 988-8409

Map and Direction

Healthcare Provider's Profile

Full Name	Ethel Roman Lucero
Gender	Female
Speciality	Physical Therapist
Location	14624 Sherman Way, Van Nuys, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093786154
Provider Enumeration Date: 01/27/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 3274551692
Enrollment ID: I20051104000237

Medical Identifiers

Medical identifiers for Ethel Roman Lucero such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093786154	NPI	-	NPPES
WPT28150A	Other	CA	PPIN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	28150 (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. Ethel Roman Lucero 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
Ethel Roman Lucero, PT 14624 Sherman Way, 201, Van Nuys, CA 91405-2241 Ph: (818) 988-8410	Ethel Roman Lucero, PT 14624 Sherman Way, 201, Van Nuys, CA 91405-2241 Ph: (818) 988-8410

Reviews and Comments

Physical Therapist in Van Nuys, CA

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Ethel Roman Lucero, PT - Medicare Physical Therapist in Van Nuys, CA