Kenneth B Tucker, MD | |
180 N Watersound Pkwy, Inlet Beach, FL 32461-7274 | |
(850) 278-3551 | |
(850) 378-3596 |
Full Name | Kenneth B Tucker |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 30 Years |
Location | 180 N Watersound Pkwy, Inlet Beach, Florida |
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 |
---|---|---|---|
1346294204 | NPI | - | NPPES |
51040677 | Other | AL | BCBS |
000810983B | Medicaid | GA | |
000040677 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME160121 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sacred Heart Hospital | Pensacola, FL | Hospital |
Sacred Heart Hospital On The Emerald Coast | Miramar beach, FL | Hospital |
Ascension Sacred Heart Bay | Panama city, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sacred Heart Health System Inc | 3779491386 | 365 |
Entity Name | Sacred Heart Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962453308 PECOS PAC ID: 3779491386 Enrollment ID: O20051015000049 |
Mailing Address | Practice Location Address |
---|---|
Kenneth B Tucker, MD 4205 Belfort Rd Ste 4015, Jacksonville, FL 32216-3623 Ph: (904) 450-6063 | Kenneth B Tucker, MD 180 N Watersound Pkwy, Inlet Beach, FL 32461-7274 Ph: (850) 278-3551 |
Lauren Stipp, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12805 Us Highway 98 E, Inlet Beach, FL 32461 Phone: 850-278-3390 Fax: 850-278-3389 | |
Elizabeth B Tucker, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12805 Us Highway 98 E Unit G201, Inlet Beach, FL 32461 Phone: 850-278-3466 Fax: 850-278-3467 | |
Dr. Michelle E Parker, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12805 Hwy 98, G201, Inlet Beach, FL 32461 Phone: 850-278-3466 Fax: 850-278-3467 |