Lucas M Marlatt (NPI# 1922484104, PAC ID# 9830408053) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1922484104 |
| PAC ID by PECOS | 9830408053 |
| Professional Enrollment ID | I20151028002610 |
| Full Name | Lucas M Marlatt |
| Organization Legal Name | MELBOURNE EMERGENCY GROUP, LLC |
| Address |
250 N Wickham Rd Melbourne FL 32935-8625 |
| Phone Number | 3217521200 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2860783925 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100092 | WUESTHOFF MEDICAL CENTER ROCKLEDGE |
| Address | Phone | Organization |
|---|---|---|
| 2254 Hwy A1a, Indian Harbour Beach, FL 32937-4922 | 3217772273 | ATLANTIS URGENT CARE INC |
| 250 N Wickham Rd, Melbourne, FL 32935-8625 | 3217521200 | MELBOURNE EMERGENCY GROUP, LLC |
| 110 Longwood Ave, Rockledge, FL 32955-2828 | 3216362211 | ROCKLEDGE EMERGENCY GROUP LLC |
| Organization Legal Name | MELBOURNE EMERGENCY GROUP, LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marcos A Santiano | Emergency Medicine | Melbourne Emergency Group, LLC | 250 N Wickham Rd, Melbourne, FL 32935-8625 |
| Kevin R. Freels | Emergency Medicine | Melbourne Emergency Group, LLC | 250 N Wickham Rd, Melbourne, FL 32935-8625 |
| Jennifer A Bryan | Emergency Medicine | Melbourne Emergency Group, LLC | 250 N Wickham Rd, Melbourne, FL 32935-8625 |
| Rory O Hession | Emergency Medicine | Melbourne Emergency Group, LLC | 250 N Wickham Rd, Melbourne, FL 32935-8625 |
| Daniel Flavius Pirvan | Emergency Medicine | Melbourne Emergency Group, LLC | 250 N Wickham Rd, Melbourne, FL 32935-8625 |
| Michael A Meloni Jr. | Emergency Medicine | Melbourne Emergency Group, LLC | 250 N Wickham Rd, Melbourne, FL 32935-8625 |
| Paresh D Savani | Internal Medicine | Melbourne Emergency Group, LLC | 250 N Wickham Rd, Melbourne, FL 32935-8625 |
| Street Address |
250 N WICKHAM RD |
| City | MELBOURNE |
| State | FL |
| Zip | 32935-8625 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph S Babb | Certified Registered Nurse Anesthetist (crna) | Central Brevard Anesthesiologists Pa | 250 N Wickham Rd, Melbourne, FL 32935-8625 |
| Nathaniel M Bolli | Anesthesiology | Central Brevard Anesthesiologists Pa | 250 N Wickham Rd, Melbourne, FL 32935-8625 |
| Marcos A Santiano | Emergency Medicine | Melbourne Emergency Group, LLC | 250 N Wickham Rd, Melbourne, FL 32935-8625 |
| Peter O Haughie | Anesthesiology | Central Brevard Anesthesiologists Pa | 250 N Wickham Rd, Melbourne, FL 32935-8625 |
| Kathleen L Hannan | Diagnostic Radiology | Steward Medical Group Inc | 250 N Wickham Rd, Melbourne, FL 32935-8625 |
| Gustavo A Espinosa | Diagnostic Radiology | Steward Medical Group Inc | 250 N Wickham Rd, Melbourne, FL 32935-8625 |
| Scott J Newman | Certified Registered Nurse Anesthetist (crna) | Central Brevard Anesthesiologists Pa | 250 N Wickham Rd, Melbourne, FL 32935-8625 |
| Tyler G Haskell | Anesthesiology | Central Brevard Anesthesiologists Pa | 250 N Wickham Rd, Melbourne, FL 32935-8625 |
| Holly L Russo | Certified Registered Nurse Anesthetist (crna) | Central Brevard Anesthesiologists Pa | 250 N Wickham Rd, Melbourne, FL 32935-8625 |
| Joseph Wasselle | General Surgery | Steward Medical Group Inc | 250 N Wickham Rd, Melbourne, FL 32935-8625 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Srinivas R Dontineni | Internal Medicine | 2800 Aurora Rd, Suite F, Melbourne, FL 32935-2015 | |
| Madhavi T Chary | Internal Medicine | 2800 Aurora Rd, Suite F, Melbourne, FL 32935-2015 | |
| Robert Dunne | Podiatry | 2717 N Wickham Rd, Suite 4, Melbourne, FL 32935-2200 | |
| Sharon Sinangote Haner | Physical Therapy | Central Florida Spine and Injury LLC | 2755 N Wickham Rd, Suite 102, Melbourne, FL 32935-2226 |
| Gregory C Priest | Chiropractic | 2755 N Wickham Rd, Suite 104, Melbourne, FL 32935-2226 | |
| Kathy D Rohaley | Physical Therapy | Central Florida Spine and Injury LLC | 2755 N Wickham Rd, Suite 102, Melbourne, FL 32935-2226 |
| Evan Michael Rush | Chiropractic | 2755 N Wickham Rd, Suite 104, Melbourne, FL 32935-2226 | |
| Anne M Gregas | Optometry | 3200 N Wickham Rd, Suite 1, Melbourne, FL 32935-2321 | |
| Mark Dillon | Gastroenterology | 3150 N Wickham Rd, Suite 6, Melbourne, FL 32935-2322 | |
| Thomas K Velleff | Pain Management | 3150 N Wickham Rd, Suite 9, Melbourne, FL 32935-2322 | |
| Find all physicians in zip 32935 | |||
| City | MELBOURNE |
| Zip Code | 32935 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MELBOURNE + NURSE PRACTITIONER |
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| 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.