Mareah Bernadette Lucio, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA15686 Issued in TX

Practice address

915 Gessner Rd Ste 500
Houston, TX 77024-2568

Phone

(713) 468-0303

Fax

(713) 468-0307

NPI assigned

May 27, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Simone Stalling MD PHD PLLC

  • Dermatology Physician
  • Houston, TX
  • NPI 1730668567
  Medicare reassignment
• Applebaum Physiatry PLLC

  • Physical Medicine & Rehabilitation Physician
  • Oak Brook, IL
  • NPI 1700598059

  TX

  Medicare reassignment
• Angela M. Davis, M.D.P.a.

  • Dermatology Physician
  • Houston, TX
  • NPI 1255524484
  NPD
• Emmanuel E Sackey MD, PA

  • Pediatrics Physician
  • Ennis, TX
  • NPI 1134304520
  NPD (past)

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

{
    "created_epoch": "1653609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1255070322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 SPRING BLOOM CT",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793207",
            "telephone_number": "281-691-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 GESSNER RD STE 500",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242568",
            "telephone_number": "713-468-0303",
            "fax_number": "713-468-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCIO",
        "first_name": "MAREAH",
        "middle_name": "BERNADETTE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-27",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA15686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucida Dental PLLC
• Lucinma Healthcare Services LLC
• Johanna Lucio Leija
• Brandon Lucio, LPC-INTERN
• Felicitas Lucio
• Lucious Randle Jr Mdpa
• Michael D. Luck, MD
• Floyd Earl Luckett III, M.D.
• Cathy Denise Luckey
• Taylor Morgan Luckie, MD

• Physician Assistant in Houston, TX
• Providers in Houston, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.