Individual provider Active NPI

Debra Jann Lusk, D.P.M.

  • Foot Surgery Podiatrist
  • Beaumont, TX
National Provider Identifier
1851396139
Registry record updated Jan 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
1347 Issued in TX
Practice address
6260 Delaware St
Beaumont, TX 77706-7602
Phone
(409) 899-1538
Fax
(409) 899-2120
NPI assigned
Jun 14, 2005
Last updated
Jan 10, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 1347 TX Primary

Addresses

Primary practice location

6260 Delaware St
Beaumont, TX 77706-7602

Mailing address

6260 Delaware St
Beaumont, TX 77706-7602
Phone (409) 899-1538

Other identifiers 1

IdentifierTypeStateIssuer
041086202MedicaidTX

Other names 1

  • Mrs. Debra Lusk Weinman Other name

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100628000403 TX Practitioner - Podiatry 2062542061 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Triangle Foot & Ankle Specialists, P.a. Foot Surgery CurrentSince Jun 1, 1998 Accepting new patients
Beaumont Foot Specialists Inc PastSince Jun 1, 1998 Accepting new patients
Reeti K Joshi, MD PA PastSince Jul 5, 2017 Accepting new patients

Locations

6260 Delaware St
Beaumont, TX 77706
Phone (409) 833-7465

3560 Delaware St
Ste 301
Beaumont, TX 77706
Phone (409) 363-5675

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326153600000",
    "number": "1851396139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6260 DELAWARE ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777067602",
            "telephone_number": "409-899-1538",
            "fax_number": "409-899-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6260 DELAWARE ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777067602",
            "telephone_number": "409-899-1538",
            "fax_number": "409-899-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSK",
        "first_name": "DEBRA",
        "middle_name": "JANN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-14",
        "last_updated": "2012-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "TX",
            "license": "1347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041086202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "WEINMAN",
            "middle_name": "LUSK",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.