Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ericka C Luckel, PA

Individual provider Physician Assistant · NPI 1851398978

Ericka C Luckel, PA is a Physician Assistant in Bend, Oregon. Qualified in 2004, 22 years ago. Practices with Peters Dermatology Center, a 4-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
22
Licensed in
OR
In the registry since
2005
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2200 NE Neff Rd Ste 200
Bend, OR 97701-4281
Phone: (541) 382-3344
Fax: (541) 382-1681
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA00979 (OR)

Record details

NPI number1851398978
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 5, 2005
Last updated in NPPESAugust 18, 2017
Mailing address2041 Ne Williamson Ct, Ste B, Bend, OR 97701-3941

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Peters Dermatology Center — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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