Mr Tucker Lee Brady, FNP - Medicare Nurse Practitioner in Brookhaven, MS

Mr Tucker Lee Brady, FNP is a medicare enrolled "Nurse Practitioner - Family" in Brookhaven, Mississippi. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Kdmc Physician Clinics Llc and his current practice location is 940 Brookway Blvd, Brookhaven, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 823-5000.

Mr Tucker Lee Brady is licensed to practice in Mississippi (license number 903771) 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 1679107692.

Contact Information

Mr Tucker Lee Brady, FNP
940 Brookway Blvd,
Brookhaven, MS 39601-2644
(601) 823-5000
Not Available

Map and Direction




Provider's Profile

Full NameMr Tucker Lee Brady
GenderMale
SpecialityNurse Practitioner
Experience5 Years
Location940 Brookway Blvd, Brookhaven, Mississippi
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 Tucker Lee Brady graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1679107692
  • Provider Enumeration Date: 02/28/2020
  • Last Update Date: 09/15/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4981023751
  • Enrollment ID: I20200928001941

Medical Identifiers

Medical identifiers for Mr Tucker Lee Brady such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679107692NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 903771 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
King's Daughters Medical Center-brookhavenBrookhaven, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kdmc Physician Clinics Llc701215449519

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 Tucker Lee Brady allows following entities to bill medicare on his behalf.
Entity NameKings Daughters Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043245368
PECOS PAC ID: 3072575539
Enrollment ID: O20041028000174
Entity NameKdmc Physician Clinics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861739161
PECOS PAC ID: 7012154495
Enrollment ID: O20130501000541
Entity NameFast Pace Mississippi Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447769559
PECOS PAC ID: 3678832029
Enrollment ID: O20180111000291

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 Tucker Lee Brady 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 Tucker Lee Brady, FNP
1522 Old Highway 51 Ne,
Brookhaven, MS 39601-9553

Ph: (601) 754-2690
Mr Tucker Lee Brady, FNP
940 Brookway Blvd,
Brookhaven, MS 39601-2644

Ph: (601) 823-5000

Reviews and Comments


Nurse Practitioner Nurses in Brookhaven, MS

Miss Montoyae C Leavy, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 747 Industrial Park Rd Ne, Brookhaven, MS 39601
Phone: 601-833-4111    
Tonya C Hughey, CFNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 940 Brookway Blvd, Brookhaven, MS 39601
Phone: 601-823-5000    Fax: 601-823-4140
Mrs. Candace Laird Duckworth, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1578 Shanna Ln Nw, Brookhaven, MS 39601
Phone: 601-757-9659    
Sally M Proffitt, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1024 D A Biglane Dr, Brookhaven, MS 39601
Phone: 601-823-8000    
Marty Kyle Ballard Sr., FNP
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Medicare: Accepting Medicare Assignments
Practice Location: 327 N Jackson St, Brookhaven, MS 39601
Phone: 601-833-3800    Fax: 601-833-3847
Jennifer D Smith, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1005 W Congress St, Brookhaven, MS 39601
Phone: 601-833-9388    Fax: 601-833-9495
Miss Brittany Griffin Mullins, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 201 Highway 51 N Ste A, Brookhaven, MS 39601
Phone: 601-833-5333    

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.