Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michael T Luck, PA

Individual provider Physician Assistant · NPI 1083673982

Michael T Luck, PA is a Physician Assistant in Waterville, Maine. Graduated from State University of New York at Stony Brook, School of Medicine in 1982, 44 years ago. Accepts Medicare assignment. Licensed in Maine.

Years since qualifying
44
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
ME
In the registry since
2006
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

149 N St
Waterville, ME 04901-4974
Phone: (207) 872-1303
Fax: (207) 872-1302
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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 PA278 (ME)

Record details

NPI number1083673982
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 20, 2006
Last updated in NPPESJuly 3, 2008
Mailing address149 North St, Waterville, ME 04901-4974

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 1982 (44 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Waterville