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

Mr. Jeffrey A Lucak, PA-C

Individual provider Physician Assistant · NPI 1366791733

Mr. Jeffrey A Lucak, PA-C is a Physician Assistant in Brookline, Massachusetts. Qualified in 2012, 14 years ago. Practices with Fastmed PC, a 176-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts and North Carolina.

Years since qualifying
14
Licensed in
MA, NC
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1180 Beacon St Ste 6B
Brookline, MA 02446-3806
Phone: (781) 770-4064
Fax: (781) 682-6157
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Semc - Emergency Department, Brighton, MA 02135 — (617) 789-3000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-14876 (NC)
Physician Assistant Taxonomy 363A00000X · Licence PA4464 (MA)

Record details

NPI number1366791733
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 31, 2012
Last updated in NPPESFebruary 24, 2026
Certification dateFebruary 24, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Fastmed Pc — 176 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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