Iesha Marlena Tucker, NP | |
510 N Main St, Rocky Top, TN 37769-2818 | |
(865) 205-9582 | |
(865) 205-9583 |
Full Name | Iesha Marlena Tucker |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 510 N Main St, Rocky Top, Tennessee |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023649662 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 27010 (Tennessee) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fast Pace Medical Clinic Pllc | 5395881841 | 556 |
Eastlake Medical, Llc | 6901174788 | 7 |
Entity Name | Fast Pace Medical Clinic Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134452865 PECOS PAC ID: 5395881841 Enrollment ID: O20091014000112 |
Entity Name | Eastlake Medical, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467992446 PECOS PAC ID: 6901174788 Enrollment ID: O20170620001620 |
Entity Name | Eastlake Primary Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972043214 PECOS PAC ID: 1254752371 Enrollment ID: O20200528000649 |
Mailing Address | Practice Location Address |
---|---|
Iesha Marlena Tucker, NP 2205 Jacksboro Pike, La Follette, TN 37766-2904 Ph: (423) 352-6500 | Iesha Marlena Tucker, NP 510 N Main St, Rocky Top, TN 37769-2818 Ph: (865) 205-9582 |
Mrs. Hannah Marie Braden, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 421 Wallace Ave, Rocky Top, TN 37769 Phone: 423-201-3572 | |
Taylor Swinney, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 510 N Main St, Rocky Top, TN 37769 Phone: 865-205-9582 |