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Robert Patrick Lucas

Internal Medicine

Allopathic & Osteopathic Physicians

120 Hawthorne Park, Athens, GA 30606-2147

PECOS Enrollment

This provider is enrolled in PECOS as ROBERT LUCAS.

Based on the most recent information from CMS, provider Robert Patrick Lucas is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1649230731
Provider Type
Individual
Full Name
Lucas, Robert Patrick
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
3/24/2006
Last Updated
4/22/2014

Contact Information

Practice Location

120 Hawthorne Park, Athens, GA 30606-2147

(706) 353-8700

(706) 353-6629

Mailing Location

120 Hawthorne Park, Athens, GA 30606-2147

(706) 353-8700

(706) 353-6629

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 055860 Georgia

Provider Identifiers

ID	Description	Issuer
ID 671499069A	Description Medicaid	Issuer Unlisted Georgia

Robert Patrick Lucas

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Watson, Stephanie Nguyen

Braucher, Charles L

Butt, Zaigham Ashraf

Nelson, Michael E

Baosman, Abdullah A

Johnson, Elizabeth L

Greene, Tayla Elizabeth

Fleagle, Jane A

Farmer, Matthew S

Schneider, Scarlett E