Lori Tucker, DO | |
904 Harrison St, Princeton, WV 24740 | |
(304) 431-7100 | |
(304) 431-7112 |
Full Name | Lori Tucker |
---|---|
Gender | Female |
Speciality | Obstetrics/gynecology |
Experience | 27 Years |
Location | 904 Harrison St, Princeton, West Virginia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174534291 | NPI | - | NPPES |
1808681000 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 1960 (West Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Clinton Memorial Hospital | Wilmington, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wilmington Physicians Group Llc | 4688853419 | 33 |
Entity Name | Trinity West |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043234677 PECOS PAC ID: 5496648875 Enrollment ID: O20040209000132 |
Entity Name | Wilmington Physicians Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932401411 PECOS PAC ID: 4688853419 Enrollment ID: O20110126000617 |
Entity Name | Change Incorporated |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245244367 PECOS PAC ID: 1759325327 Enrollment ID: O20130304000156 |
Mailing Address | Practice Location Address |
---|---|
Lori Tucker, DO Po Box 1138, Princeton, WV 24740 Ph: (304) 431-7100 | Lori Tucker, DO 904 Harrison St, Princeton, WV 24740 Ph: (304) 431-7100 |
Dr. Joe Carey Ellington Jr., PH.D., M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 112 Undercliff Ter, Princeton, WV 24740 Phone: 304-425-3800 Fax: 304-487-3914 | |
Randy M Brodnik, DO FACOG Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 150 Courthouse Rd Ste 202, Princeton, WV 24740 Phone: 304-327-0531 Fax: 304-324-0548 | |
Brandon M Lingenfelter, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 411 12th Street Ext, Princeton, WV 24740 Phone: 681-282-5591 Fax: 681-282-5593 |