Shelby Tucker, is a
Peer Specialist based in Enid, Oklahoma. Shelby Tucker is licensed to practice in * (Not Available) (license number ) and his current practice location is
1824 S Van Buren St, Enid, Oklahoma. He can be reached at his office (for appointments etc.) via phone at
(405) 230-1168.
NPI number for Shelby Tucker is 1437732435 and his current mailing address is 702 N Grand St, Enid, Oklahoma. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1437732435.
Healthcare Provider's Profile
| Full Name | Shelby Tucker |
|---|
| Gender | Male |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 1824 S Van Buren St, Enid, Oklahoma |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1437732435
- Provider Enumeration Date: 04/28/2021
- Last Update Date: 04/24/2023
Medical Identifiers
Medical identifiers for Shelby Tucker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437732435 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 10939126 (Oklahoma) | Secondary |
| 175T00000X | Peer Specialist | (* (Not Available)) | Primary |
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. Shelby Tucker is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Shelby Tucker,
702 N Grand St,
Enid, OK 73701-3221
Ph: (580) 234-3791 | Shelby Tucker,
1824 S Van Buren St,
Enid, OK 73703-7903
Ph: (405) 230-1168 |
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