Wilson Larry Tucker, MD in Rome, GA - Medicare Family Medicine

Wilson Larry Tucker, MD is a medicare enrolled "Family Medicine" physician in Rome, Georgia. His current practice location is 304 Shorter Ave Nw, Rome, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 291-3700.

Wilson Larry Tucker is licensed to practice in Georgia (license number 031142) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1629090964.

Contact Information

	Wilson Larry Tucker, MD
	304 Shorter Ave Nw, Rome, GA 30165-4290
	(706) 291-3700
	(706) 291-8712

Map and Direction

Physician's Profile

Full Name	Wilson Larry Tucker
Gender	Male
Speciality	Family Medicine
Location	304 Shorter Ave Nw, Rome, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629090964
Provider Enumeration Date: 07/24/2006
Last Update Date: 05/08/2014

Medicare PECOS Information:

PECOS PAC ID: 1456450352
Enrollment ID: I20131113002237

Medical Identifiers

Medical identifiers for Wilson Larry Tucker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629090964	NPI	-	NPPES
00375229S	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	031142 (Georgia)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Wilson Larry Tucker allows following entities to bill medicare on his behalf.

Entity Name	Floyd Healthcare Management Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689610149 PECOS PAC ID: 5193633386 Enrollment ID: O20050110000187

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. Wilson Larry 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
Wilson Larry Tucker, MD 420 E 2nd Ave, Suite 103, Rome, GA 30161-3224 Ph: (706) 509-3000	Wilson Larry Tucker, MD 304 Shorter Ave Nw, Rome, GA 30165-4290 Ph: (706) 291-3700

Reviews and Comments

Family Medicine Doctors in Rome, GA

Shelle Rae Glover, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 304 Shorter Ave Nw Ste 201, Rome, GA 30165 Phone: 706-509-3300
Alexis Ann Eckard, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 255 W 5th Street, Suite 300, Rome, GA 30165 Phone: 706-509-5000
Wilma Kristine Briones -mull, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 302 Shorter Ave Nw, Rome, GA 30165 Phone: 706-291-3700 Fax: 706-291-8712
Jay C Thomas, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 28 John Davenport Dr Nw, Rome, GA 30165 Phone: 706-509-3000
Melvin H. Thomas, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 304 Shorter Ave Nw, Suite 201, Rome, GA 30165 Phone: 706-509-3300 Fax: 706-509-4596
Charles Edward Mcbride Iii, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1825 Martha Berry Blvd Nw, Rome, GA 30165 Phone: 706-378-8185 Fax: 706-236-5240
Theron Wayne Thompson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1825 Martha Berry Blvd Nw, Rome, GA 30165 Phone: 706-238-8073 Fax: 706-238-8081

Wilson Larry Tucker, MD - Medicare Family Medicine in Rome, GA