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DR. MARIO LUCERO MD NPI 1639173115


NPI Information

NPI: 1639173115
Provider Name: DR. MARIO LUCERO, MD
Classification: Medical Genetics, Ph.D. Medical Genetics - 170100000X
Entity Type: Individual

PECOS Registration: Yes

Address:
ROUTE 16, MAIN STREET
WAR, WV
ZIP 24892
Phone: (304) 425-1768
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DR. Mario Lucero, MD is a medical genetics phd medical genetics in War, WV with 52 years of experience. The provider is a medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. DR. Mario Lucero, MD NPI is 1639173115. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

ROUTE 16, MAIN STREET
WAR, WV
ZIP 24892
Phone: (304) 425-1768
Fax: (304) 425-3912

The NPI 1639173115 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Vaccine for influenza for injection into muscle (HCPCS:90662)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Administration of pneumococcal vaccine (HCPCS:G0009)

The enumeration date for this NPI number is 6/13/2005 and was last updated on 3/13/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1171W00000XContractorWV 13411WEST VIRGINIANo
2170100000XMedical Genetics, Ph.D. Medical GeneticsWV13411WEST VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1D4918MEDICARE UPIN
20049852000MEDICAIDWEST VIRGINIA
3SP01521MEDICARE ID-TYPE UNSPECIFIEDMEDICARE PROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.