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DR. LUCAS ROBERT BEATTIE WILSON DC
NPI 1902333479
Chiropractor in Bradenton, FL

Active since May 16, 2017Accepts Medicare Assignment
1603 60TH AVE W, BRADENTON, FL 34207(941) 727-8739 Get Directions Write a Review

NPPES record last updated: May 16, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Lucas Robert Beattie Wilson Dc NPPES

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

DR. LUCAS ROBERT BEATTIE WILSON DC (NPI 1902333479) is an individual chiropractor in Bradenton, Florida, licensed in Florida (CH12086) and active in the NPI registry since May 2017. He is a graduate of Other (2016).

NPPES Registry Identity

NPI1902333479
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. LUCAS ROBERT BEATTIE WILSONCredential: DC
Location Address1603 60TH AVE WBradenton, FL 34207-4658
Mailing Address1603 60th Ave WBradenton, FL 34207-4658
Phone(941) 727-8739
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateMay 16, 2017
✔ NPI 1902333479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in FL · CH12086
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1603 60TH AVE W, Bradenton, FL 34207
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Lucas Robert Beattie Wilson Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860762150
PECOS Enrollment IDI20170719002115

Medicare Billing Reassignment

Medicare enrollment records show Lucas Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Thorassic Park, Inc
Same address
Orthopedic
1603 60TH AVE W
Bradenton, FL 34207
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
NPI 1780952937 (941) 758-1402

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
120 services16 patients
Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
65 services15 patients

Other Providers at the Same Location NPPES 3

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

THORASSIC PARK
Chiropractor
1603 60TH AVE W
BRADENTON, FL 34207
Manatee County (941) 727-8739
THORASSIC PARK, INC
Chiropractor (Orthopedic)
1603 60TH AVE W
BRADENTON, FL 34207
Manatee County (941) 758-1402
DR. STEPHANIE GANNETT DC
Chiropractor
1603 60TH AVE W
BRADENTON, FL 34207
Manatee County (941) 727-8739

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 Wilson's NPI number?

The NPI number for Lucas Wilson is 1902333479. It was assigned to this individual provider in the NPPES registry on May 16, 2017.

Where is Lucas Wilson located?

Lucas Wilson practices at 1603 60th Ave W, Bradenton, FL 34207. The listed phone number is (941) 727-8739.

What is Lucas Wilson's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Lucas Wilson enrolled in Medicare?

Yes. Lucas Wilson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Lucas Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lucas Wilson reassigns Medicare benefits to Thorassic Park, Inc (Bradenton, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lucas Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lucas Wilson was last updated on May 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.