Dale R Lucus, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E6131 Issued in TX

Practice address

800 County Road 1224
Cleburne, TX 76033-8505

Phone

(817) 641-1777

NPI assigned

Nov 16, 2005

Last updated

Jul 11, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Family PracticeAlso: Emergency Medicine

Education

University of Texas Medical Branch at Galveston, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Concord Medical Group of Texas PLLCGroup PAC ID 7810117223, 319 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Glen Rose Medical Center Hospital, Glen Rose, TX, CCN 450451

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dalelucus@grmf.medalliesdirect.net

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

• Concord Medical Group of Texas PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1750790762
  Medicare reassignment Care Compare group NPD
• Texas Medicine Resources, LLP

  • Emergency Medicine Physician
  • Fort Worth, TX
  • NPI 1376581900
  Medicare reassignment NPD
• Somervell County Hospital District

  dba Glen Rose Medical Center

  • Rural Acute Care Hospital
  • Glen Rose, TX
  • NPI 1700826575
  NPD
• Acs Primary Care Physicians Southwest, PA

  • Emergency Medicine Physician
  • Gainesville, TX
  • NPI 1538101019

  Family Medicine

  NPD (past)
• Glen Rose Medical Foundation

  dba Glen Rose Medical Center

  • Certified Registered Nurse Anesthetist
  • Glen Rose, TX
  • NPI 1992749857
  NPD (past)
• Glen Rose Medical Foundation Inc.

  dba Glen Rose Medical Center

  • Emergency Medicine Physician
  • Glen Rose, TX
  • NPI 1639292964
  NPD (past)

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

• Somervell County Hospital District

  dba Glen Rose Medical Center

  • Rural Acute Care Hospital
  • Glen Rose, TX
  • NPI 1700826575
  Care Compare affiliation

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215734400000",
    "number": "1063494979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 COUNTY ROAD 1224",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760338505",
            "telephone_number": "817-641-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 COUNTY ROAD 1224",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760338505",
            "telephone_number": "817-641-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCUS",
        "first_name": "DALE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2008-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E6131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0046QR",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112027101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112027106",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Molly Jo Lopez
• Landon Bernhardt Lorenz, MD
• Holly Ann Lovitt, COTA
• Lucas Hearing and Balance Center (Chisholm Trail Hearing)
• Lucid Urgent Care LLC
• Myranda Daye Luna, NP-C
• David Ray Lunow, MD
• Tracy Anne Maestrini, N.P.
• Mary Ellen Mahaffey, LPC-ASSOCIATE
• McDavid M Mahaffey, MD

• Family Medicine Physician in Cleburne, TX
• Providers in Cleburne, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.