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LUCAS PETTIT
NPI 1245787159
Physician Assistant - Medical in Cicero, NY

Active since September 08, 2016PECOS Enrolled
8003 BREWERTON RD, CICERO, NY 13039(315) 288-4006(315) 288-4760 Get Directions Write a Review

NPPES record last updated: December 3, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lucas Pettit NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUCAS PETTIT (NPI 1245787159) is an individual medical provider in Cicero, New York and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245787159
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameLUCAS PETTIT
Location Address8003 BREWERTON RDCicero, NY 13039-9528
Mailing Address3292 Black StScipio Center, NY 13147-3172 · (315) 406-6385
Phone(315) 288-4006
Fax(315) 288-4760
Sole ProprietorYes
Enumeration DateSeptember 8, 2016
Last NPPES UpdateDecember 3, 2019
✔ NPI 1245787159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
8003 BREWERTON RD, Cicero, NY 13039
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lucas Pettit is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WELLNOW URGENT CARE, PC
Clinic/Center (Urgent Care)
8003 BREWERTON RD
CICERO, NY 13039
Onondaga County (315) 288-4006
MS. STAYCE LEA HUYNH FNP-C
Nurse Practitioner (Family)
8003 BREWERTON RD
CICERO, NY 13039
Onondaga County (315) 288-4006
NATALIE ROSE ZIMMER PA-C
Physician Assistant
8003 BREWERTON RD
CICERO, NY 13039
Onondaga County (315) 288-4006
GRETCHEN L PALMITER PA
Physician Assistant
8003 BREWERTON RD
CICERO, NY 13039
Onondaga County (315) 288-4006
MISS LAUREL ANNE DELORME P.A.
Physician Assistant
8003 BREWERTON RD
CICERO, NY 13039
Onondaga County (315) 288-4006
WELLNOW URGENT CARE, PC
Clinic/Center (Urgent Care)
8003 BREWERTON RD
CICERO, NY 13039
Onondaga County (315) 288-4006
LUXOTTICA OF AMERICA INC.
Eyewear Supplier
8003 BREWERTON RD
CICERO, NY 13039
Onondaga County (315) 622-5130
MRS. BRITTANY ALLISSA STOJKOVSKI PA
Physician Assistant
8003 BREWERTON RD
CICERO, NY 13039
Onondaga County (315) 288-4006

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lucas Pettit's NPI number?

The NPI number for Lucas Pettit is 1245787159. It was assigned to this individual provider in the NPPES registry on September 8, 2016.

Where is Lucas Pettit located?

Lucas Pettit practices at 8003 Brewerton Rd, Cicero, NY 13039. The listed phone number is (315) 288-4006.

What is Lucas Pettit's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Lucas Pettit enrolled in Medicare?

Yes. Lucas Pettit is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lucas Pettit was last updated on December 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.