Mark A Tackett, MD | |
2025 W Everly Brothers Blvd, Powderly, KY 42367-5401 | |
(270) 377-2600 | |
(270) 377-2610 |
Full Name | Mark A Tackett |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 27 Years |
Location | 2025 W Everly Brothers Blvd, Powderly, Kentucky |
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 |
---|---|---|---|
1144281791 | NPI | - | NPPES |
6401849200 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 35646 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Caretenders | Owensboro, KY | Home health agency |
Baptist Health Home Care | Madisonville, KY | Home health agency |
Kindred At Home | Hopkinsville, KY | Home health agency |
Owensboro Health Regional Hospital | Owensboro, KY | Hospital |
Baptist Health Madisonville | Madisonville, KY | Hospital |
Redbanks Colonial Terrace | Sebree, KY | Nursing home |
Joseph Eddie Ballard Western Kentucky Veterans Cen | Hanson, KY | Nursing home |
Ridgewood Terrace Nursing Home | Madisonville, KY | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Owensboro Health Medical Group Inc | 0648255034 | 357 |
Entity Name | Owensboro Health Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235518242 PECOS PAC ID: 0648255034 Enrollment ID: O20040621000818 |
Mailing Address | Practice Location Address |
---|---|
Mark A Tackett, MD Po Box 23229, Owensboro, KY 42304-3229 Ph: (270) 688-1330 | Mark A Tackett, MD 2025 W Everly Brothers Blvd, Powderly, KY 42367-5401 Ph: (270) 377-2600 |
Mrs. Kristy G Chappell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1010 Medical Center Drive, Powderly, KY 42367 Phone: 270-377-1622 Fax: 270-377-1692 | |
Jonathan Tyler Smith, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1010 Medical Center Dr, Powderly, KY 42367 Phone: 270-377-1600 |