Mark T Lucas, PT | |
5525 Broadway, Merrillville, IN 46410 | |
(219) 884-2827 | |
(219) 884-2891 |
Full Name | Mark T Lucas |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 5525 Broadway, Merrillville, Indiana |
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) | Primary |
Provider Name | Lakeshore Bone & Joint Institute, Inc |
---|---|
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 5525 Broadway, Merrillville, IN 46410 Ph: (219) 884-2827 | Mark T Lucas, PT 5525 Broadway, Merrillville, IN 46410 Ph: (219) 884-2827 |
Celemar Valdevieso Gentica, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 303 E 89th Ave, Merrillville, IN 46410 Phone: 219-738-3500 Fax: 219-738-6624 | |
Dr. Timothy Richard Fronek, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 521 E 86th Ave Ste J, Merrillville, IN 46410 Phone: 219-736-2801 | |
Kya Dyer, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8690 Broadway Ste A, Merrillville, IN 46410 Phone: 219-627-2542 | |
Nora Abeledo De Mas, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3240 E 84th Pl, Merrillville, IN 46410 Phone: 219-791-0494 Fax: 219-791-0490 | |
Healthpro Heritage Rehab & Fitness, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 343 E 90th Dr, Merrillville, IN 46410 Phone: 219-207-6100 | |
Active Rehab & Wellness, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 65 E 73rd Ave, Merrillville, IN 46410 Phone: 219-741-2017 | |
Jocelyn Marquez, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1393 W 86th Ave, Merrillville, IN 46410 Phone: 219-791-0397 |