Mr Paul Tucker, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Konawa, Oklahoma. His current practice location is
527 W 3rd St, Konawa, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(580) 925-3286.
Mr Paul Tucker is licensed to practice in Oklahoma (license number 2063) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1861574717.
Healthcare Provider's Profile
Full Name | Mr Paul Tucker |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 527 W 3rd St, Konawa, Oklahoma |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1861574717
- Provider Enumeration Date: 10/19/2006
- Last Update Date: 04/02/2015
Medicare PECOS Information:
- PECOS PAC ID: 1456630730
- Enrollment ID: I20161109000054
Medical Identifiers
Medical identifiers for Mr Paul Tucker such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861574717 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 2063 (Oklahoma) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Paul Tucker allows following entities to bill medicare on his behalf.
Entity Name | Central Oklahoma Family Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1831291293 PECOS PAC ID: 9931189685 Enrollment ID: O20040722001013 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Paul Tucker is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Paul Tucker, LCSW 527 W 3rd St, Po Box 358, Konawa, OK 74849 Ph: (580) 925-3286 | Mr Paul Tucker, LCSW 527 W 3rd St, Konawa, OK 74849 Ph: (580) 925-3286 |
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