Dale Tucker, MD in Waycross, GA - Medicare Family Practice

Dale Tucker, MD is a medicare enrolled "Family Medicine" physician in Waycross, Georgia. He went to Mercer University School Of Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice St Vincent's Full Service Urgent Care, Llc, St Vincent's Full Service Urgent Care, Llc and his current practice location is 1506 Alice St, Waycross, Georgia. You can reach out to his office (for appointments etc.) via phone at (912) 584-6500.

Dale Tucker is licensed to practice in Florida (license number ME76518) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1720024425.

Contact Information

	Dale Tucker, MD
	1506 Alice St, Waycross, GA 31501-4531
	(912) 584-6500
	Not Available

Map and Direction

Physician's Profile

Full Name	Dale Tucker
Gender	Male
Speciality	Family Practice
Experience	28 Years
Location	1506 Alice St, Waycross, Georgia
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dale Tucker attended and graduated from Mercer University School Of Medicine in 1996

NPI Data:

NPI Number: 1720024425
Provider Enumeration Date: 06/21/2006
Last Update Date: 05/02/2024

Medicare PECOS Information:

PECOS PAC ID: 4385655125
Enrollment ID: I20060509000179

Medical Identifiers

Medical identifiers for Dale Tucker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720024425	NPI	-	NPPES
930119999	Other	FL	RAILROAD MEDICARE
35915	Other	FL	BCBS
261605000	Medicaid	FL

Medical Taxonomies and Licenses

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 Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Vincent's Full Service Urgent Care, Llc	4183879364	21
St Vincent's Full Service Urgent Care, Llc	4183879364	21

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. Dale Tucker allows following entities to bill medicare on his behalf.

Entity Name	Vincent Galiano Md Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750499380 PECOS PAC ID: 6103882766 Enrollment ID: O20041206000353

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: O20130220000322

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. Dale 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
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

Reviews and Comments

Family Medicine Doctors in Waycross, GA

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
Dr. Ceveland Thompson Iii, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 208 Plantation Dr, Waycross, GA 31501 Phone: 912-283-9613 Fax: 912-283-9613
Mr. Earl T Martin, M.D. Family Medicine Medicare: Accepting Medicare Assignments 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

Dale Tucker, MD - Medicare Family Practice in Waycross, GA