Individual ProviderAnn LucasNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address229 N Potomac St, Hagerstown, MD 21740-3812(301) 733-5858PECOS EnrollmentBased on the most recent information from CMS, provider Ann Lucas does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1285658369Provider TypeIndividualFull NameLucas, AnnCredentialCRNPGenderFemaleSole ProprietorNoEnumeration Date7/26/2006Last Updated2/24/2012Contact InformationPractice LocationPractice Address229 N Potomac St, Hagerstown, MD 21740-3812Phone(301) 733-5858Fax(866) 635-7206Mailing LocationMailing Address229 N Potomac St, Hagerstown, MD 21740-3812Phone(301) 733-5858Fax(866) 635-7206Provider TaxonomiesCodeDescriptionLicenseCode363LP0808XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseR114858MarylandProvider IdentifiersIDDescriptionIssuerID405909300DescriptionMedicaidIssuerUnlistedMarylandIDPVPB10075730DescriptionOtherIssuerAPS PROVIDER IDMarylandID544865-03DescriptionOtherIssuerBC/BSMaryland