Elizabeth Dawn Tuck, FNP-C is a medicare enrolled "Nurse Practitioner - Primary Care" in Lake City, Michigan. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice V Dermatology and her current practice location is
1866 S Morey Rd, Lake City, Michigan. You can reach out to her office (for appointments etc.) via phone at
(231) 908-8888.
Elizabeth Dawn Tuck is licensed to practice in Michigan (license number 4704272712) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1609361807.
Provider's Profile
| Full Name | Elizabeth Dawn Tuck |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 1866 S Morey Rd, Lake City, Michigan |
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| Accepts Medicare Assignments | Yes. She 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:
- Elizabeth Dawn Tuck graduated from nursing school in 2018
NPI Data:
- NPI Number: 1609361807
- Provider Enumeration Date: 06/29/2018
- Last Update Date: 09/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 1759639941
- Enrollment ID: I20180803001573
Medical Identifiers
Medical identifiers for Elizabeth Dawn Tuck such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609361807 | NPI | - | NPPES |
| 4704272712 | Other | MI | LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 4704272712 (Michigan) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | 4704272712 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| V Dermatology | 9739451063 | 5 |
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. Elizabeth Dawn Tuck allows following entities to bill medicare on her behalf.
| Entity Name | V Dermatology |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922536986
PECOS PAC ID: 9739451063
Enrollment ID: O20170822002834 |
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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. Elizabeth Dawn Tuck 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 |
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Elizabeth Dawn Tuck, FNP-C
1866 S Morey Rd,
Lake City, MI 49651-9190
Ph: (231) 908-8888 | Elizabeth Dawn Tuck, FNP-C
1866 S Morey Rd,
Lake City, MI 49651-9190
Ph: (231) 908-8888 |
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