Dr Eric Steven Lustig, DPM in Philadelphia, PA - Medicare Podiatrist Provider

Dr Eric Steven Lustig, DPM is a medicare enrolled "Podiatrist" provider in Philadelphia, Pennsylvania. His current practice location is 4715 Pine St, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 471-0433.

Dr Eric Steven Lustig is licensed to practice in Pennsylvania (license number SC002614L) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1063419117.

Contact Information

	Dr Eric Steven Lustig, DPM
	4715 Pine St, Philadelphia, PA 19143-1831
	(215) 471-0433
	(215) 471-0430

Healthcare Provider's Profile

Full Name	Dr Eric Steven Lustig
Gender	Male
Speciality	Podiatrist
Location	4715 Pine St, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063419117
Provider Enumeration Date: 07/05/2005
Last Update Date: 07/09/2007

Medicare PECOS Information:

PECOS PAC ID: 2668509852
Enrollment ID: I20100420000566

Medical Identifiers

Medical identifiers for Dr Eric Steven Lustig such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063419117	NPI	-	NPPES
LU1436109	Other	PA	PA. BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213E00000X	Podiatrist	SC002614L (Pennsylvania)	Primary

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. Dr Eric Steven Lustig 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 Address	Practice Location Address
Dr Eric Steven Lustig, DPM 6836 Roosevelt Blvd, Philadelphia, PA 19149-2411 Ph: (214) 471-0433	Dr Eric Steven Lustig, DPM 4715 Pine St, Philadelphia, PA 19143-1831 Ph: (215) 471-0433

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Dr Eric Steven Lustig, DPM - Medicare Podiatrist in Philadelphia, PA