Tiffany Dawn Lucas, APRN, AGPCNP-BC - Medicare Nurse Practitioner in El Dorado, AR

Tiffany Dawn Lucas, APRN, AGPCNP-BC is a medicare enrolled "Nurse Practitioner - Gerontology" in El Dorado, Arkansas. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice South Arkansas Physician Group Llc and her current practice location is 620 W Grove St Ste 202, El Dorado, Arkansas. You can reach out to her office (for appointments etc.) via phone at (870) 234-7676.

Tiffany Dawn Lucas is licensed to practice in Arkansas (license number A004783) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1295185106.

Contact Information

Tiffany Dawn Lucas, APRN, AGPCNP-BC
620 W Grove St Ste 202,
El Dorado, AR 71730-4425
(870) 234-7676
(870) 562-2560



Provider's Profile

Full NameTiffany Dawn Lucas
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location620 W Grove St Ste 202, El Dorado, Arkansas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tiffany Dawn Lucas graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1295185106
  • Provider Enumeration Date: 06/21/2016
  • Last Update Date: 01/18/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0345473344
  • Enrollment ID: I20160913000811

Medical Identifiers

Medical identifiers for Tiffany Dawn Lucas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295185106NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health A004783 (Arkansas)Secondary
363LG0600XNurse Practitioner - Gerontology A004783 (Arkansas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Medical Center Of South ArkansasEl dorado, ARHospital
Ouachita County Medical CenterCamden, ARHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
South Arkansas Physician Group Llc44860021515

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Tiffany Dawn Lucas allows following entities to bill medicare on her behalf.
Entity NameSouth Arkansas Physician Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285325969
PECOS PAC ID: 4486002151
Enrollment ID: O20231120001286

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Entity NameUniversity Of Arkansas For Medical Sciences
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083486781
PECOS PAC ID: 4082528955
Enrollment ID: O20240109004338

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tiffany Dawn Lucas is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tiffany Dawn Lucas, APRN, AGPCNP-BC
4301 W Markham St # 783,
Little Rock, AR 72205-7101

Ph: (501) 686-8000
Tiffany Dawn Lucas, APRN, AGPCNP-BC
620 W Grove St Ste 202,
El Dorado, AR 71730-4425

Ph: (870) 234-7676

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› Verified 8 days ago


Nurse Practitioner Nurses in El Dorado, AR

Rebecca Jan Porter, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 600 S Timberlane Dr, El Dorado, AR 71730
Phone: 870-862-2400    
Chelsea Jo Bounds, APRN, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 525 W Faulkner St, El Dorado, AR 71730
Phone: 870-639-3910    
Lizbeth Laura Herrera, MNSC, APRN, PMHNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1906 W Hillsboro St, El Dorado, AR 71730
Phone: 870-639-9322    Fax: 501-235-3743
Anita Burleson, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1000 N College Ave, El Dorado, AR 71730
Phone: 870-881-8008    
Marcia P Ford, APN CDE
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 600 S Timberlane Dr, El Dorado, AR 71730
Phone: 870-862-2400    Fax: 870-862-1891
Mrs. Candance Marie Guinn, PMHNP-BC, APRN-CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1906 W Hillsboro St Ste B, El Dorado, AR 71730
Phone: 870-639-9322    Fax: 501-492-6477
Harlee A Pennington, APRN, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1700 E Short Hillsboro St, El Dorado, AR 71730
Phone: 870-862-5124    

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