Mr Brady John Tucker, PA-C is a medicare enrolled "Physician Assistant" physician in Layton, Utah. He graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Tanner Memorial Clinic and his current practice location is
2121 N 1700 W, Layton, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 773-4840.
Mr Brady John Tucker is licensed to practice in Utah (license number 8612587-1206) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1174884290.
Physician's Profile
| Full Name | Mr Brady John Tucker |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 13 Years |
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| Location | 2121 N 1700 W, Layton, Utah |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Brady John Tucker graduated from medical school in 2011
NPI Data:
- NPI Number: 1174884290
- Provider Enumeration Date: 06/05/2012
- Last Update Date: 02/13/2020
Medicare PECOS Information:
- PECOS PAC ID: 6901056480
- Enrollment ID: I20140113001386
Medical Identifiers
Medical identifiers for Mr Brady John Tucker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174884290 | NPI | - | NPPES |
| PA-981 | Other | ID | STATE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207RP1001X | Internal Medicine - Pulmonary Disease | 8612587-1206 (Utah) | Secondary |
| 363A00000X | Physician Assistant | PA-981 (Idaho) | Secondary |
| 363A00000X | Physician Assistant | 8612587-1206 (Utah) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Tanner Memorial Clinic | 4284547985 | 215 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Brady John Tucker is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Brady John Tucker, PA-C
Po Box 337,
Layton, UT 84041-0337
Ph: (801) 773-4840 | Mr Brady John Tucker, PA-C
2121 N 1700 W,
Layton, UT 84041-8803
Ph: (801) 773-4840 |
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