Dr David John Tucker, MD | |
1101 Jackson St Sw, Gravette, AR 72736-9121 | |
(479) 787-5221 | |
(479) 787-5613 |
Full Name | Dr David John Tucker |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 41 Years |
Location | 1101 Jackson St Sw, Gravette, Arkansas |
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 |
---|---|---|---|
1023076619 | NPI | - | NPPES |
112423001 | Medicaid | AR | |
50654 | Other | AR | AR BCBS |
100726240D | Other | OK | OK MEDICAID GROUP NUMBER |
100061170A | Medicaid | OK | |
202310207 | Medicaid | MO | |
P00144854 | Other | AR | RAILROAD MEDICARE NUMBER |
P00894372 | Other | AR | OCH RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 2013042315 (Missouri) | Secondary |
207Q00000X | Family Medicine | R3698 (Arkansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Circle Of Life Hospice | Springdale, AR | Hospice |
Ozarks Community Hospital Of Gravette | Gravette, AR | Hospital |
Siloam Healthcare, Llc | Siloam springs, AR | Nursing home |
Concordia Nursing & Rehab, Llc | Bella vista, AR | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sgoh Acquisition Inc | 5092616276 | 72 |
Sgoh Acquisition Inc | 5092616276 | 72 |
Entity Name | Sgoh Acquisition Inc |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1568643005 PECOS PAC ID: 5092616276 Enrollment ID: O20081016000559 |
Entity Name | Sgoh Acquisition Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568643005 PECOS PAC ID: 5092616276 Enrollment ID: O20190905000100 |
Mailing Address | Practice Location Address |
---|---|
Dr David John Tucker, MD 1101 Jackson St Sw, Gravette, AR 72736-9121 Ph: (479) 787-5221 | Dr David John Tucker, MD 1101 Jackson St Sw, Gravette, AR 72736-9121 Ph: (479) 787-5221 |
Dr. Nancy L Jones, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1101 Jackson St Sw, Gravette, AR 72736 Phone: 479-787-5221 Fax: 479-787-5613 | |
Rayetta Eaton, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1101 Jackson St Sw, Gravette, AR 72736 Phone: 479-787-5291 Fax: 479-344-6404 | |
Dr. Vijay Kumar Kannam, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1101 Jackson St Sw, Gravette, AR 72736 Phone: 479-787-5221 Fax: 479-787-5613 | |
Dr. William Frank Webb, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1101 Jackson St Sw, Gravette, AR 72736 Phone: 479-787-5221 Fax: 479-787-5613 | |
Dr. Kenneth Marcus Poemoceah, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1102 Jackson St Sw, Gravette, AR 72736 Phone: 479-787-5221 Fax: 479-787-5613 |