| Dale Tucker, MD | |
|
1506 Alice St, Waycross, GA 31501-4531 | |
| (912) 584-6500 | |
| Not Available |
| Full Name | Dale Tucker |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 29 Years |
| Location | 1506 Alice St, Waycross, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720024425 | NPI | - | NPPES |
| 930119999 | Other | FL | RAILROAD MEDICARE |
| 35915 | Other | FL | BCBS |
| 261605000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | ME76518 (Florida) | Secondary |
| 207Q00000X | Family Medicine | 48092 (Georgia) | Secondary |
| 207Q00000X | Family Medicine | ME76518 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Vincent's Ambulatory Care Inc | 2860411188 | 255 |
| Entity Name | St Vincent's Ambulatory Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417987124 PECOS PAC ID: 2860411188 Enrollment ID: O20051129000302 |
| Entity Name | St Vincent's Full Service Urgent Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750672051 PECOS PAC ID: 4183879364 Enrollment ID: O20180917000713 |
| Mailing Address | Practice Location Address |
|---|---|
| Dale Tucker, MD 4205 Belfort Rd Ste 4015, Jacksonville, FL 32216-3623 Ph: (904) 346-5426 | Dale Tucker, MD 1506 Alice St, Waycross, GA 31501-4531 Ph: (912) 584-6500 |
Dr. David J Walters, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1507 Alice St, Waycross, GA 31501 Phone: 912-283-7220 Fax: 912-283-7026 | |
Nosheen Azam, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 808 Beacon St, Waycross, GA 31501 Phone: 706-721-3157 | |
Mr. Earl T Martin, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 218 Quarterman St, Waycross, GA 31501 Phone: 912-287-9140 Fax: 912-287-1059 | |
Bradley Daniel Page, PA Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2005 Pioneer St Ste C, Waycross, GA 31501 Phone: 912-490-7777 Fax: 912-490-7778 | |
Peter Wrobel, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1718 Reynolds Street, Waycross, GA 31501 Phone: 912-283-1359 Fax: 912-283-1362 | |
Lina Heath Harper, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 303 Darling Ave, Waycross, GA 31501 Phone: 912-283-1717 Fax: 912-283-7633 | |
Dr. Joshua Wade Mccarthy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 407 W Oneida St, Waycross, GA 31501 Phone: 912-338-0065 Fax: 912-338-0920 |