| Dr Gladstone A Tucker, MD | |
|
1606 Castleberry Dr, Marion, IL 62959-1586 | |
| (618) 997-9519 | |
| (618) 993-0592 |
| Full Name | Dr Gladstone A Tucker |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 45 Years |
| Location | 1606 Castleberry Dr, Marion, Illinois |
| 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 |
|---|---|---|---|
| 1023087012 | NPI | - | NPPES |
| 252364 | Other | IL | HARMONY |
| 036111926 | Medicaid | IL | |
| 07332006 | Other | IL | BCBS |
| 229260 | Other | IL | COVENTRY |
| P00239844 | Other | IL | MEDICARE - RAILROAD |
| 699628 | Other | IL | HEALTHLINK |
| 9367182 | Other | IL | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 036111926 (Illinois) | Secondary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | 036111926 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Red Bud Regional Hospital | Red bud, IL | Hospital |
| Heartland Regional Medical Center | Marion, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Deaconess Illinois Specialty Clinic, Inc. | 9830562016 | 95 |
| Entity Name | Cogent Healthcare Of Illinois, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487897849 PECOS PAC ID: 6507981008 Enrollment ID: O20100920001157 |
| Entity Name | Sound Physicians Of Illinois Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043598865 PECOS PAC ID: 1557533734 Enrollment ID: O20111012000272 |
| Entity Name | Integritas Emergency Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790128817 PECOS PAC ID: 7113167446 Enrollment ID: O20130710000760 |
| Entity Name | Deaconess Illinois Specialty Clinic, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972210235 PECOS PAC ID: 9830562016 Enrollment ID: O20230321001688 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gladstone A Tucker, MD Po Box 752, Concordia, MO 64020-0752 Ph: (660) 463-1365 | Dr Gladstone A Tucker, MD 1606 Castleberry Dr, Marion, IL 62959-1586 Ph: (618) 997-9519 |
Mohammed Rahimparast, MD Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 2309 Spring Ln, Marion, IL 62959 Phone: 618-993-8551 | |
Dr. Elizabeth Ellen Lawler, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 1129 N Carbon St, Marion, IL 62959 Phone: 618-998-0123 Fax: 887-618-9533 | |
Shelley Falik, MD Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 3307 W Commercial Rd, Marion, IL 62959 Phone: 902-235-2526 | |
Faisel Ahmad, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 W Deyoung St, Marion, IL 62959 Phone: 618-993-5686 Fax: 618-997-6250 | |
Dr. Zaid Anwar Al-dahabrah, MD Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 3333 W Deyoung St, Marion, IL 62959 Phone: 618-998-7000 | |
Dr. Parag Arvind Madhani, MD Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 3331 W Deyoung St, Suite 100, Marion, IL 62959 Phone: 618-998-7600 Fax: 618-997-6680 | |
Bei Wang, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 2703 Prestwick Way, Marion, IL 62959 Phone: 469-619-5782 |