| Dr Evelyn R Tucker, MD | |
|
565 Columbia Ave, Ste 100, Chapin, SC 29036 | |
| (803) 936-7476 | |
| (803) 936-7477 |
| Full Name | Dr Evelyn R Tucker |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 565 Columbia Ave, Chapin, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396849006 | NPI | - | NPPES |
| 205343 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 20534 (South Carolina) | Primary |
| Entity Name | Lexington Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710634753 PECOS PAC ID: 2567872070 Enrollment ID: O20201208000922 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Evelyn R Tucker, MD Po Box 6069, West Columbia, SC 29171-6069 Ph: () - | Dr Evelyn R Tucker, MD 565 Columbia Ave, Ste 100, Chapin, SC 29036 Ph: (803) 936-7476 |
Janis E Keeton, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 565 Columbia Ave, Ste 100, Chapin, SC 29036 Phone: 803-936-7476 Fax: 803-936-7477 | |
Dr. George W Watt, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 565 Columbia Ave, Ste 100, Chapin, SC 29036 Phone: 803-936-7476 Fax: 803-936-7477 | |
Dr. Evelyn Dae Roland, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 565 Columbia Ave Ste 100, Chapin, SC 29036 Phone: 803-936-7476 |