Jason Rick Lucas, DPM | |
4700 Harrison Blvd, Ogden, UT 84403-4303 | |
(801) 475-3300 | |
Not Available |
Full Name | Jason Rick Lucas |
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Gender | Male |
Speciality | Podiatrist |
Location | 4700 Harrison Blvd, Ogden, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790312072 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 13398228-0501 (Utah) | Primary |
Provider Name | Ogden Clinic Specialty Services Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1114203668 PECOS PAC ID: 1658781422 Enrollment ID: O20201105001806 |
Mailing Address | Practice Location Address |
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Jason Rick Lucas, DPM Po Box 5546, Denver, CO 80217-5546 Ph: (801) 475-3500 | Jason Rick Lucas, DPM 4700 Harrison Blvd, Ogden, UT 84403-4303 Ph: (801) 475-3300 |
Mckay Dee Foot And Ankle Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 4403 Harrison Blvd, #2835, Ogden, UT 84403 Phone: 801-387-7945 | |
Kevin G Walker, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4700 Harrison Blvd, Ogden, UT 84403 Phone: 801-475-3225 Fax: 801-475-3227 | |
Dr. Susan Jespersen Agres, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 5275 Adams Ave Pkwy, Suite A, Ogden, UT 84405 Phone: 801-430-8406 | |
Dr. Chantel B Murrah, DPM PHD Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3590 Harrison Blvd, # G1, Ogden, UT 84403 Phone: 801-627-2122 Fax: 801-627-2125 | |
Wasatch Podiatry Pllc Podiatrist Medicare: Medicare Enrolled Practice Location: 5275 Adams Ave Pkwy, Suite A, Ogden, UT 84405 Phone: 801-430-8406 | |
Lorell B Fawson, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3590 Harrison Blvd, G1, Ogden, UT 84403 Phone: 801-627-2122 Fax: 801-627-2125 | |
Dr. David Matthew Graff, D.P.M Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4401 Harrison Blvd Ste 1885, Ogden, UT 84403 Phone: 801-387-4870 Fax: 801-387-4875 |