Kathleen Tucker, RD - Medicare Dietitian in Charlotte, NC

Kathleen Tucker, RD is a medicare enrolled "Dietitian, Registered" provider in Charlotte, North Carolina. Her current practice location is 4525 Cameron Valley Pkwy, Ste 4100, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 302-9462.

Kathleen Tucker is licensed to practice in North Carolina (license number L005193) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1992213193.

Contact Information

Kathleen Tucker, RD
4525 Cameron Valley Pkwy, Ste 4100,
Charlotte, NC 28211-4369
(704) 302-9462
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKathleen Tucker
GenderFemale
SpecialityDietitian, Registered
Location4525 Cameron Valley Pkwy, Charlotte, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1992213193
  • Provider Enumeration Date: 01/22/2018
  • Last Update Date: 07/15/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5890057707
  • Enrollment ID: I20180312002403

Medical Identifiers

Medical identifiers for Kathleen Tucker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992213193NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered L005193 (North Carolina)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. Kathleen Tucker allows following entities to bill medicare on her behalf.
Provider NameCarolinas Physicians Network Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1477878890
PECOS PAC ID: 3375449655
Enrollment ID: O20031219000455
Provider NameCarolinas Physicians Network Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1437607686
PECOS PAC ID: 3375449655
Enrollment ID: O20040115000819
Provider NameCharlotte Medical Clinic Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1053636472
PECOS PAC ID: 8729980776
Enrollment ID: O20040121001041
Provider NameMecklenburg Medical Group
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1255364535
PECOS PAC ID: 9931196797
Enrollment ID: O20040426001334
Provider NameEastover Obstetrics And Gynecology Associates Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1518982768
PECOS PAC ID: 2769444207
Enrollment ID: O20041115000416
Provider NameCharlotte Obstetric And Gynecological Associates
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1659396893
PECOS PAC ID: 7517923964
Enrollment ID: O20041207000811
Provider NameThe Charlotte-mecklenburg Hospital Authority
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1669738829
PECOS PAC ID: 2961310685
Enrollment ID: O20100309000605

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. Kathleen 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 AddressPractice Location Address
Kathleen Tucker, RD
Po Box 19305,
Charlotte, NC 28219-9305

Ph: () -
Kathleen Tucker, RD
4525 Cameron Valley Pkwy, Ste 4100,
Charlotte, NC 28211-4369

Ph: (704) 302-9462

Reviews and Comments


Dietitian, Registered in Charlotte, NC

Cheryl Buckley Nutrition Llc
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Phone: 585-355-1718    
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Phone: 704-549-9550    Fax: 704-549-9570
Elizabeth Templeton Silvers, RD
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Phone: 980-314-8517    
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Phone: 704-381-9900    
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Practice Location: 301 Mccullough Dr Ste 400, Charlotte, NC 28262
Phone: 704-819-4916    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.