Mark T Lucas, PT | |
2771 Oak Valley Dr, Ann Arbor, MI 48103-9244 | |
(734) 821-7500 | |
(734) 821-7501 |
Full Name | Mark T Lucas |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 2771 Oak Valley Dr, Ann Arbor, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164545497 | NPI | - | NPPES |
145210 | Other | IL | MEDICARE GROUP NUMBER |
1619980 | Other | IL | BCBS OF IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 05007271A (Indiana) | Secondary |
225100000X | Physical Therapist | 5501303559 (Michigan) | Primary |
Provider Name | Lakeshore Bone & Joint Institute, Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1508853953 PECOS PAC ID: 3173500519 Enrollment ID: O20040702000362 |
Mailing Address | Practice Location Address |
---|---|
Mark T Lucas, PT 33900 Harper Ave Ste 104, Clinton Twp, MI 48035-4258 Ph: () - | Mark T Lucas, PT 2771 Oak Valley Dr, Ann Arbor, MI 48103-9244 Ph: (734) 821-7500 |
Michigan Luna Care Physical Therapy, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 206 S 5th Ave Ste 550, Ann Arbor, MI 48104 Phone: 866-839-6979 | |
Maureen Anders, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-7070 | |
Pediatric Therapy Associates Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2665 Shefman Ter, Ann Arbor, MI 48105 Phone: 734-973-6473 Fax: 734-994-7141 | |
Rhapsody Of Motion Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2469 Oak Valley Dr Apt 203, Ann Arbor, MI 48103 Phone: 734-519-0020 | |
Maria B Schmidtke, P.T.R. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1500 E Medical Center Dr, Uh B1 A244 0019, Ann Arbor, MI 48109 Phone: 734-936-2373 | |
Elizabeth Ann Wiggert, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3191 Stone School Rd, Ann Arbor, MI 48108 Phone: 734-677-4806 | |
Michelle G Brown, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 401 W Oakbrook Dr, Ann Arbor, MI 48103 Phone: 734-754-0554 |