Dr Byron Shane Tucker, MD is a medicare enrolled "Otolaryngology" physician in New Albany, Mississippi. He went to University Of Mississippi School Of Medicine and graduated in 1984 and has 40 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Medical Foundation Inc and his current practice location is
452 W Bankhead St, New Albany, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(662) 534-3724.
Dr Byron Shane Tucker is licensed to practice in Mississippi (license number 10748) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1235155979.
Physician's Profile
| Full Name | Dr Byron Shane Tucker |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 40 Years |
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| Location | 452 W Bankhead St, New Albany, Mississippi |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Byron Shane Tucker attended and graduated from University Of Mississippi School Of Medicine in 1984
NPI Data:
- NPI Number: 1235155979
- Provider Enumeration Date: 07/14/2006
- Last Update Date: 10/25/2016
Medicare PECOS Information:
- PECOS PAC ID: 1759283518
- Enrollment ID: I20080527000526
Medical Identifiers
Medical identifiers for Dr Byron Shane Tucker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235155979 | NPI | - | NPPES |
| 0010261 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | 10748 (Mississippi) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Medical Foundation Inc | 9234043712 | 124 |
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. Dr Byron Shane Tucker allows following entities to bill medicare on his behalf.
| Entity Name | Medical Foundation Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609820539
PECOS PAC ID: 9234043712
Enrollment ID: O20031118000855 |
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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. Dr Byron Shane 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 |
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Dr Byron Shane Tucker, MD
Po Box 405827,
Atlanta, GA 30384-5827
Ph: () - | Dr Byron Shane Tucker, MD
452 W Bankhead St,
New Albany, MS 38652-3319
Ph: (662) 534-3724 |
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