Individual provider Active NPI

Jessica Goddard Lucot, D.O.

  • Family Medicine Physician
  • Bethel Park, PA
National Provider Identifier
1053975953
Registry record updated Nov 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS022206 Issued in PA
Practice address
2000 Oxford Dr Ste 302
Bethel Park, PA 15102-1841
Phone
(412) 942-8570
NPI assigned
Apr 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS022206 PA Primary

Addresses

Primary practice location

2000 Oxford Dr Ste 302
Bethel Park, PA 15102-1841

Mailing address

2000 Oxford Dr Ste 302
Bethel Park, PA 15102-1841

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220811000016 PA Practitioner - Family Practice 8921332552 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Clair Medical Services IncGroup PAC ID 4183511553, 203 clinicians

Practice addresses (Care Compare)

2000 Oxford Dr
Suite 302
Bethel Park, PA 15102-1841
Phone (412) 854-5491

Hospital & facility affiliations

  • Vitas Healthcare Corporation Atlantic Hospice, Cranberry Township, PA, CCN 391632
  • St Clair Hospital Hospital, Pittsburgh, PA, CCN 390228
  • Magee Womens Hospital of Upmc Health System Hospital, Pittsburgh, PA, CCN 390114
  • Jefferson Hospital Hospital, Jefferson Hills, PA, CCN 390265

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
St Clair Medical Services, Inc. Current Accepting new patients
St Clair Medical Services Inc CurrentSince Aug 22, 2022 Accepting new patients
St Clair Medical Services Inc Family Medicine CurrentSince Aug 22, 2022 Accepting new patients

Locations

2000 Oxford Dr
Ste 302
Bethel Park, PA 15102
Phone (412) 854-5491

2000 Oxford Dr
Ste 100
Bethel Park, PA 15102
Phone (412) 831-1522

3928 Washington Rd
Ste 280
McMurray, PA 15317
Phone (724) 731-0090

1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600

Interoperability endpoints

  • Direct secure messaging: jessicalucot@sch.allscriptsdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667692800000",
    "number": "1053975953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 OXFORD DR STE 302",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151021841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 OXFORD DR STE 302",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151021841",
            "telephone_number": "412-942-8570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCOT",
        "first_name": "JESSICA",
        "middle_name": "GODDARD",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-25",
        "last_updated": "2022-11-06",
        "certification_date": "2022-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS022206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethel Park, PA

Sources for this page

Verify at the official NPI Registry.