Donna Pam Tucker, NP is a medicare enrolled "Nurse Practitioner - Family" in Dos Palos, California. Her current practice location is
1405 California Ave, Dos Palos, California. You can reach out to her office (for appointments etc.) via phone at
(678) 485-1906.
Donna Pam Tucker is licensed to practice in California (license number 95025272) 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 1952819831.
Provider's Profile
| Full Name | Donna Pam Tucker |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1405 California Ave, Dos Palos, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1952819831
- Provider Enumeration Date: 01/13/2018
- Last Update Date: 02/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 1850756644
- Enrollment ID: I20230501001089
Medical Identifiers
Medical identifiers for Donna Pam Tucker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1952819831 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | RN201429 (Georgia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 10003451 (Oregon) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 95025272 (California) | 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. Donna Pam Tucker allows following entities to bill medicare on her behalf.
| Entity Name | Silverton Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669424354
PECOS PAC ID: 8921901877
Enrollment ID: O20040129000172 |
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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. Donna Pam 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 |
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Donna Pam Tucker, NP
1405 California Ave,
Dos Palos, CA 93620-2300
Ph: (678) 485-1906 | Donna Pam Tucker, NP
1405 California Ave,
Dos Palos, CA 93620-2300
Ph: (678) 485-1906 |
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