| Dr Creed Monroe Rucker, MD | |
|
677 N Wilmot Rd, Tucson, AZ 85711-2701 | |
| (520) 795-2889 | |
| (520) 795-6321 |
| Full Name | Dr Creed Monroe Rucker |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 26 Years |
| Location | 677 N Wilmot Rd, Tucson, Arizona |
| 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 |
|---|---|---|---|
| 1760428312 | NPI | - | NPPES |
| 121242800 | Medicaid | FL | |
| 005472 | Other | AZ | GROUP MEDICAID ID |
| CS7943 | Other | AZ | GROUP MEDICARE RAILROAD ID & PTAN |
| ZWCBBM | Other | AZ | GROUP MEDICARE ID |
| P01479085 | Other | AZ | PHYSICIAN MEDICARE RAILROAD PTAN |
| 1760428312 | Other | AZ | PHYSICIAN INDIVIDUAL NPI |
| 185947 | Medicaid | AZ |
| Facility Name | Location | Facility Type |
|---|---|---|
| Johnson City Medical Center | Johnson city, TN | Hospital |
| Franklin Woods Community Hospital | Johnson city, TN | Hospital |
| Wellmont Holston Valley Medical Center | Kingsport, TN | Hospital |
| Johnston Memorial Hospital | Abingdon, VA | Hospital |
| Indian Path Community Hospital | Kingsport, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Blue Ridge Radiology Pc | 7416860473 | 77 |
| Blue Ridge Radiology Pc | 7416860473 | 77 |
| Blue Ridge Medical Management Corporation | 9739099441 | 294 |
| Entity Name | Blue Ridge Medical Management Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144380833 PECOS PAC ID: 9739099441 Enrollment ID: O20031204000996 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Creed Monroe Rucker, MD 677 N Wilmot Rd, Tucson, AZ 85711-2701 Ph: (520) 795-2889 | Dr Creed Monroe Rucker, MD 677 N Wilmot Rd, Tucson, AZ 85711-2701 Ph: (520) 795-2889 |
Gary A Podolny, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 13305 E Saddlerock Rd, Tucson, AZ 85749 Phone: 520-749-3468 | |
Thomas R. Cain, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 677 N Wilmot Rd, Tucson, AZ 85711 Phone: 520-795-2889 | |
William G Berger, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 677 N Wilmot Rd, Tucson, AZ 85711 Phone: 520-571-9599 | |
Edward E Rogoff, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2625 N Craycroft Rd, Ste 100, Tucson, AZ 85712 Phone: 520-324-4214 Fax: 520-324-2680 | |
Marilyn Kay Croghan, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2625 N Craycroft Rd, Ste 100, Tucson, AZ 85712 Phone: 520-324-4214 Fax: 520-324-2680 | |
Baldassarre Stea, MD, PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1501 N Campbell Ave, Tucson, AZ 85724 Phone: 520-694-7236 Fax: 520-626-2032 | |
Stephanie A Reddick, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 6426 E Santa Aurelia, Tucson, AZ 85715 Phone: 877-276-9842 |