Kelly Marie Tucker, FNP in Lockport, NY - Medicare Nurse Practitioner

Kelly Marie Tucker, FNP is a medicare enrolled "Nurse Practitioner - Family" in Lockport, New York. Her current practice location is 6950 S Transit Rd, Lockport, New York. You can reach out to her office (for appointments etc.) via phone at (716) 630-1335.

Kelly Marie Tucker is licensed to practice in New York (license number F352150-01) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1144003286.

Contact Information

	Kelly Marie Tucker, FNP
	6950 S Transit Rd, Lockport, NY 14094-6333
	(716) 630-1335
	(716) 817-1770

Map and Direction

Provider's Profile

Full Name	Kelly Marie Tucker
Gender	Female
Speciality	Nurse Practitioner - Family
Location	6950 S Transit Rd, Lockport, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144003286
Provider Enumeration Date: 08/14/2023
Last Update Date: 01/04/2024

Medicare PECOS Information:

PECOS PAC ID: 8729433834
Enrollment ID: I20231010001891

Medical Identifiers

Medical identifiers for Kelly Marie Tucker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144003286	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F352150-01 (New York)	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. Kelly Marie Tucker allows following entities to bill medicare on her behalf.

Entity Name	Buffalo Medical Group, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881659506 PECOS PAC ID: 7012820301 Enrollment ID: O20031112000213

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. Kelly Marie 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
Kelly Marie Tucker, FNP 425 Essjay Rd Ste 170, Williamsville, NY 14221-8235 Ph: (716) 630-1219	Kelly Marie Tucker, FNP 6950 S Transit Rd, Lockport, NY 14094-6333 Ph: (716) 630-1335

Reviews and Comments

Nurse Practitioner Nurses in Lockport, NY

Stacie Grant, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 38 Heritage Ct, Lockport, NY 14094 Phone: 716-433-4465
Amanda Ann Ulsifer, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5526 Niagara Street Ext, Lockport, NY 14094 Phone: 716-438-3429 Fax: 716-438-3428
Ms. Ann Catherine Coia, RN, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4675 Sunset Dr, Lockport, NY 14094 Phone: 716-439-4417 Fax: 716-439-6214
Mrs. Jane K James, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5879 Snyder Dr, Lockport, NY 14094 Phone: 716-433-8751
Maxine Kidder, P.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 139 Professional Pkwy, Lockport, NY 14094 Phone: 716-433-6711 Fax: 716-433-0546
Mr. Tanvir Hoque Shagar, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 272 East Ave, Lockport, NY 14094 Phone: 716-995-4450

Kelly Marie Tucker, FNP - Medicare Nurse Practitioner in Lockport, NY