Clint M Tucker, MD | |
310 E Broadway, Suite 200, Louisville, KY 40202-1745 | |
(502) 585-5249 | |
(502) 585-5251 |
Full Name | Clint M Tucker |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 14 Years |
Location | 310 E Broadway, Louisville, Kentucky |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629394713 | NPI | - | NPPES |
1728238 | Other | CIGNA | |
000000867381 | Other | KY | ANTHEM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 164546 (North Carolina) | Secondary |
207N00000X | Dermatology | 46666 (Kentucky) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dr William M Parsley Md Psc | 1951378850 | 7 |
Vitalskin Medical Group Il Pllc | 5991116261 | 57 |
Vitalskin Medical Group Il Pllc | 5991116261 | 57 |
Entity Name | Dr William M Parsley Md Psc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235245754 PECOS PAC ID: 1951378850 Enrollment ID: O20040910001046 |
Entity Name | University Of Louisville Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366722316 PECOS PAC ID: 3476725599 Enrollment ID: O20111017000036 |
Entity Name | Vitalskin Medical Group Il Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477297083 PECOS PAC ID: 5991116261 Enrollment ID: O20220928002012 |
Mailing Address | Practice Location Address |
---|---|
Clint M Tucker, MD 310 E Broadway, Suite 200, Louisville, KY 40202-1745 Ph: (502) 585-5249 | Clint M Tucker, MD 310 E Broadway, Suite 200, Louisville, KY 40202-1745 Ph: (502) 585-5249 |
Mrs. Jyoti B. Burruss, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3810 Springhurst Blvd, Suite 200, Louisville, KY 40241 Phone: 502-583-1749 Fax: 502-329-8184 | |
Dr. Jae Yeon Jung, M.D., PH.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3810 Springhurst Blvd Ste 200, Louisville, KY 40241 Phone: 502-583-1749 Fax: 502-329-8184 | |
Vilma C Fabre, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2211 Greene Way, Ste 100, Louisville, KY 40220 Phone: 502-495-1162 Fax: 502-495-0156 | |
Elizabeth Veasey, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 800 Zorn Ave, Louisville, KY 40206 Phone: 502-287-4000 | |
Andrea S Burch, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2307 Greene Way Ste C, Louisville, KY 40220 Phone: 502-806-3376 Fax: 502-213-3999 | |
Dr. Steven J Hodge, MD Dermatology Medicare: Medicare Enrolled Practice Location: 310 E Broadway, Ste 200, Louisville, KY 40202 Phone: 502-585-5249 Fax: 502-585-5251 | |
Dr. Michael Mccall Jr., M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3810 Springhurst Blvd, Suite 200, Louisville, KY 40241 Phone: 502-322-1946 Fax: 502-329-8184 |