Patricia Ann Tucker, RDN IBCLC is a
Lactation Consultant, Non-rn based in Grand Rapids, Michigan. Patricia Ann Tucker is licensed to practice in Michigan (license number L-35277) and her current practice location is
4490 Bonanza Dr Ne, Grand Rapids, Michigan. She can be reached at her office (for appointments etc.) via phone at
(616) 481-7563.
NPI number for Patricia Ann Tucker is 1457706707 and her current mailing address is 4490 Bonanza Dr Ne, Grand Rapids, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1457706707.
Healthcare Provider's Profile
Full Name | Patricia Ann Tucker |
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Gender | Female |
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Speciality | Lactation Consultant, Non-rn |
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Location | 4490 Bonanza Dr Ne, Grand Rapids, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1457706707
- Provider Enumeration Date: 04/24/2016
- Last Update Date: 04/24/2016
Medical Identifiers
Medical identifiers for Patricia Ann Tucker such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457706707 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 660207 (Michigan) | Secondary |
174N00000X | Lactation Consultant, Non-rn | L-35277 (Michigan) | Primary |
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. Patricia Ann Tucker is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Patricia Ann Tucker, RDN IBCLC 4490 Bonanza Dr Ne, Grand Rapids, MI 49525-6848 Ph: (616) 481-7563 | Patricia Ann Tucker, RDN IBCLC 4490 Bonanza Dr Ne, Grand Rapids, MI 49525-6848 Ph: (616) 481-7563 |
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