Phillip Lucas (NPI# 1891731055, PAC ID# 5890776793) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1891731055 |
| PAC ID by PECOS | 5890776793 |
| Professional Enrollment ID | I20040526001413 |
| Full Name | Phillip Lucas |
| Organization Legal Name | INDEPENDENT HEALTHCARE MANAGEMENT INC |
| Address |
330 N Broad St Forest MS 39074-3508 |
| Phone Number | 6014694151 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
| Graduation Year | 1975 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 0840197232 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250095 | SOUTH SUNFLOWER COUNTY HOSPITAL |
| 251300 | LACKEY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 330 N Broad St, Forest, MS 39074-3508 | 6014694151 | INDEPENDENT HEALTHCARE MANAGEMENT INC |
| 121 Baker St, Indianola, MS 38751-0189 | 6018873113 | SOUTH SUNFLOWER COUNTY HOSPITAL |
| 121 E Baker St, Indianola, MS 38751-2450 | SOUTH SUNFLOWER COUNTY HOSPITAL |
| Organization Legal Name | INDEPENDENT HEALTHCARE MANAGEMENT INC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan Otto | Nurse Practitioner | Independent Healthcare Management Inc | 347 S 4th St, Morton, MS 39117-3407 |
| Meagan N Chaney | Nurse Practitioner | Independent Healthcare Management Inc | 9427 Eastside Dr Ext, Suite A, Newton, MS 39345-8063 |
| Gregory Myrick | Certified Registered Nurse Anesthetist (crna) | Independent Healthcare Management Inc | 330 N Broad St, Forest, MS 39074-3508 |
| Matthew B Bentley | Internal Medicine | Independent Healthcare Management Inc | 330 N Broad St, Forest, MS 39074-3508 |
| William Lewis | Family Medicine | Independent Healthcare Management Inc | 1 Medical Ln, Suite B, Forest, MS 39074-4039 |
| Elizabeth Pitts | Nurse Practitioner | Independent Healthcare Management Inc | 9427 Eastside Dr Ext, Suite A, Newton, MS 39345-8063 |
| Kathryn R Walker | Nurse Practitioner | Independent Healthcare Management Inc | 347 S 4th St, Morton, MS 39117-3407 |
| Daniel M Walker | Nurse Practitioner | Independent Healthcare Management Inc | 347 S 4th St, Morton, MS 39117-3407 |
| Matthew Flynn | Nurse Practitioner | Independent Healthcare Management Inc | 330 N Broad St, Forest, MS 39074-3508 |
| Austin A Howard | Family Medicine | Independent Healthcare Management Inc | 1 Medical Ln, Suite B, Forest, MS 39074-4039 |
| Street Address |
330 N BROAD ST |
| City | FOREST |
| State | MS |
| Zip | 39074-3508 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley W Lafferty | Certified Registered Nurse Anesthetist (crna) | South Georgia Anesthesia Associates, PC | 330 N Broad St, Suite D2, Thomasville, GA 31792-5195 |
| Jackson S Tucker | Anesthesiology Assistant | South Georgia Anesthesia Associates, PC | 330 N Broad St, Suite D2, Thomasville, GA 31792-5195 |
| Karen L Bramblett | Anesthesiology | South Georgia Anesthesia Associates, PC | 330 N Broad St, Suite D2, Thomasville, GA 31792-5195 |
| Aubrie D Ireland | Anesthesiology Assistant | South Georgia Anesthesia Associates, PC | 330 N Broad St, Suite D2, Thomasville, GA 31792-5195 |
| Gregory Myrick | Certified Registered Nurse Anesthetist (crna) | Independent Healthcare Management Inc | 330 N Broad St, Forest, MS 39074-3508 |
| Peter J Casano | Otolaryngology | Flowood River Oaks Hma Medical Group, LLC | 330 N Broad St, Forest, MS 39074-3508 |
| John Allen | Certified Registered Nurse Anesthetist (crna) | South Georgia Anesthesia Associates, PC | 330 N Broad St, Suite D2, Thomasville, GA 31792-5195 |
| Stacie N Persing | Certified Registered Nurse Anesthetist (crna) | South Georgia Anesthesia Associates, PC | 330 N Broad St, Suite D2, Thomasville, GA 31792-5195 |
| James D Beeson | Anesthesiology | South Georgia Anesthesia Associates, PC | 330 N Broad St, Suite D2, Thomasville, GA 31792-5195 |
| Ginger B Whitted | Certified Registered Nurse Anesthetist (crna) | South Georgia Anesthesia Associates, PC | 330 N Broad St, Suite D2, Thomasville, GA 31792-5195 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bradley Thompson | Optometry | Southern Eye Care of Forest | 143 W 3rd St, Forest, MS 39074 |
| Matthew B Bentley | Internal Medicine | Independent Healthcare Management Inc | 330 N Broad St, Forest, MS 39074-3508 |
| Matthew Flynn | Nurse Practitioner | Independent Healthcare Management Inc | 330 N Broad St, Forest, MS 39074-3508 |
| Bernard G Harrell | Family Practice | 330 N Broad St, Lackey Hospital, Forest, MS 39074-3508 | |
| Jenna C Benge | Nurse Practitioner | Independent Healthcare Management Inc | 330 N Broad St, Forest, MS 39074-3508 |
| Corey L Shoemaker | Nurse Practitioner | Independent Healthcare Management Inc | 330 N Broad St, Forest, MS 39074-3508 |
| Keisha L Oliphant | Nurse Practitioner | Independent Healthcare Management Inc | 330 N Broad St, Forest, MS 39074-3508 |
| Ruth C Gaddis | Nurse Practitioner | Independent Healthcare Management Inc | 330 N Broad St, Forest, MS 39074-3508 |
| Shelly R Boone | Nurse Practitioner | Independent Healthcare Management Inc | 330 N Broad St, Forest, MS 39074-3508 |
| William Lewis | Family Medicine | Independent Healthcare Management Inc | 1 Medical Ln, Suite B, Forest, MS 39074-4039 |
| Find all physicians in zip 39074 | |||
| City | FOREST |
| Zip Code | 39074 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | FOREST + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Phillip Lucas.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.