Bradley David Tuckett, PA-C is a
Physician Assistant based in Elk Ridge, Utah. Bradley David Tuckett is licensed to practice in Utah (license number 8818148-1206) and his current practice location is
245 E Hudson Dr, Elk Ridge, Utah. He can be reached at his office (for appointments etc.) via phone at
(801) 669-4297.
NPI number for Bradley David Tuckett is 1790308260 and his current mailing address is 4403 Harrison Blvd Ste 4400, Ogden, Utah. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790308260.
Provider's Profile
Full Name | Bradley David Tuckett |
---|
Gender | Male |
---|
Speciality | Physician Assistant |
---|
Location | 245 E Hudson Dr, Elk Ridge, Utah |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790308260
- Provider Enumeration Date: 05/19/2020
- Last Update Date: 12/06/2022
Medical Identifiers
Medical identifiers for Bradley David Tuckett such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790308260 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 8818148-1206 (Utah) | Primary |
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. Bradley David Tuckett is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Bradley David Tuckett, PA-C 4403 Harrison Blvd Ste 4400, Ogden, UT 84403-3290 Ph: (801) 387-4550 | Bradley David Tuckett, PA-C 245 E Hudson Dr, Elk Ridge, UT 84651-9506 Ph: (801) 669-4297 |
Reviews and Comments