Jennifer L Tucker, MD | |
478 S Anaheim Hills Rd, Anaheim, CA 92807-4241 | |
(714) 282-5437 | |
(714) 282-8724 |
Full Name | Jennifer L Tucker |
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Gender | Female |
Speciality | Pediatrics |
Location | 478 S Anaheim Hills Rd, Anaheim, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659708436 | NPI | - | NPPES |
1659708436 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | G66144 (California) | Primary |
Entity Name | Providence Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Mailing Address | Practice Location Address |
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Jennifer L Tucker, MD 8078 E Santa Ana Canyon Rd, Anaheim, CA 92808-1108 Ph: (714) 974-2900 | Jennifer L Tucker, MD 478 S Anaheim Hills Rd, Anaheim, CA 92807-4241 Ph: (714) 282-5437 |
Ritu Khurana Rawal, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800 | |
Darren Murtari, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800 | |
Jennifer Linzmeyer, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 714-279-4567 Fax: 714-278-5908 | |
Geman Cheng, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800 | |
David J. Cordes, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800 | |
Ya-mei T. Yu, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800 | |
Kirtine Lee Yang, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 500 S Anaheim Hills Rd Ste 110, Anaheim, CA 92807 Phone: 714-282-2229 Fax: 877-794-9299 |