Lucas A Kunze, MPT is a medicare enrolled "Physical Therapist" provider in Watersmeet, Michigan. His current practice location is
N5241 Us Hwy, Watersmeet, Michigan. You can reach out to his office (for appointments etc.) via phone at
(906) 358-4588.
Lucas A Kunze is licensed to practice in Michigan (license number 5501018634) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1407964984.
Healthcare Provider's Profile
| Full Name | Lucas A Kunze |
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| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | N5241 Us Hwy, Watersmeet, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1407964984
- Provider Enumeration Date: 08/26/2006
- Last Update Date: 04/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 8729044730
- Enrollment ID: I20230609001736
Medical Identifiers
Medical identifiers for Lucas A Kunze such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407964984 | NPI | - | NPPES |
| P00214353 | Other | WI | RAILROAD MEDICARE NUMBER |
| K22207 | Other | IL | MEDICARE NUMBER |
| 0604410001 | Other | WI | DMERC |
| 40447500 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 5501018634 (Michigan) | Primary |
| 225100000X | Physical Therapist | 10301024 (Wisconsin) | Secondary |
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. Lucas A Kunze allows following entities to bill medicare on his behalf.
| Provider Name | Lac Vieux Desert Band Of Lake Superior Chippewa Indians |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1114071578
PECOS PAC ID: 2567629181
Enrollment ID: O20160104002159 |
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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. Lucas A Kunze 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 |
|---|
Lucas A Kunze, MPT
N5241 Us Hwy 45,
Watersmeet, MI 49969-0009
Ph: (063) 584-5889 | Lucas A Kunze, MPT
N5241 Us Hwy,
Watersmeet, MI 49969-4996
Ph: (906) 358-4588 |
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