Mr Thomas Edwin Puckett Jr, NP - Medicare Nurse Practitioner in Indianapolis, IN

  1. Home
  2. Nurse Practitioner
  3. IN
  4. Indianapolis
Mr Thomas Edwin Puckett Jr, NP is a medicare enrolled "Nurse Practitioner" in Indianapolis, Indiana. He graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Advanced Healthcare Associates, Llp, Legacy Healthcare Services Inc, Post Acute Medical Pllc and his current practice location is 3834 S Emerson Ave, Bldg C Ste 100, Indianapolis, Indiana. You can reach out to his office (for appointments etc.) via phone at (317) 782-1577.

Mr Thomas Edwin Puckett Jr is licensed to practice in Indiana (license number 71005644A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1346626876.

Contact Information

Mr Thomas Edwin Puckett Jr, NP
3834 S Emerson Ave, Bldg C Ste 100,
Indianapolis, IN 46203
(317) 782-1577
(888) 366-7577

Map and Direction




Provider's Profile

Full NameMr Thomas Edwin Puckett Jr
GenderMale
SpecialityNurse Practitioner
Experience9 Years
Location3834 S Emerson Ave, Indianapolis, Indiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Thomas Edwin Puckett Jr graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1346626876
  • Provider Enumeration Date: 08/06/2015
  • Last Update Date: 08/02/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 0143535252
  • Enrollment ID: I20150819007161

Medical Identifiers

Medical identifiers for Mr Thomas Edwin Puckett Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346626876NPI-NPPES
201312180MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 71005644A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hancock Regional HospitalGreenfield, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Advanced Healthcare Associates, Llp024421984816
Legacy Healthcare Services Inc21633397223341
Post Acute Medical Pllc5193156115106

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. Mr Thomas Edwin Puckett Jr allows following entities to bill medicare on his behalf.
Entity NameAdvanced Healthcare Associates, Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841225091
PECOS PAC ID: 0244219848
Enrollment ID: O20040716000962
Entity NameUsacs Long Term Care Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881373090
PECOS PAC ID: 2466806062
Enrollment ID: O20231002000735
Entity NamePost Acute Medical Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730713025
PECOS PAC ID: 5193156115
Enrollment ID: O20240322002562
Entity NameAltea Medical Indiana Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992584783
PECOS PAC ID: 4183064389
Enrollment ID: O20240506001301

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. Mr Thomas Edwin Puckett Jr 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 AddressPractice Location Address
Mr Thomas Edwin Puckett Jr, NP
Po Box 3299,
Carson City, NV 89702-3299

Ph: (775) 222-0044		Mr Thomas Edwin Puckett Jr, NP
3834 S Emerson Ave, Bldg C Ste 100,
Indianapolis, IN 46203

Ph: (317) 782-1577

Reviews and Comments


Nurse Practitioner Nurses in Indianapolis, IN

Ms. Monica Silvia Oclander, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: Action Health Center, 2868 N. Pennsylvania Street, Indianapolis, IN 46205
Phone: 317-221-3532    Fax: 317-221-3516
Tia Imhoff Mcgee, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 705 Riley Hospital Dr, Indianapolis, IN 46202
Phone: 317-312-2204    
Kathleen L Lampert, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1550 E County Line Rd, Ste 300, Indianapolis, IN 46227
Phone: 317-497-2300    
Ms. Yvette Monique Caviness-kelley, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1545 N Meridian St, Indianapolis, IN 46202
Phone: 317-923-1491    
Mrs. Renee Marie Burkhart,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 7825 Mcfarland Ln, Suite A, Indianapolis, IN 46237
Phone: 317-887-5500    Fax: 317-887-4806
Emily Kelly Koffel, AGACNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 8330 Naab Rd Ste 340, Indianapolis, IN 46260
Phone: 317-338-5100    
Mrs. Kelly Lentz, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2732 W Michigan St, Indianapolis, IN 46222
Phone: 317-554-4600    Fax: 317-554-4617

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.