| Dr Harry Lane Tuten Jr, MD | |
|
595 W Carolina Ave, Varnville, SC 29944-4735 | |
| (803) 943-7600 | |
| (803) 943-7601 |
| Full Name | Dr Harry Lane Tuten Jr |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 595 W Carolina Ave, Varnville, 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 |
|---|---|---|---|
| 1801807524 | NPI | - | NPPES |
| 14380 | Other | NC | BCBS NC INDIV |
| P00350185 | Other | NC | RAILROAD MEDICARE |
| 5905475 | Medicaid | NC | |
| TL8202 | Medicaid | SC | |
| 1316563 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | MD.202439 (Louisiana) | Secondary |
| 208600000X | Surgery | MD16528 (South Carolina) | Primary |
| Entity Name | Acadia-st. Landry Hospital Service District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518981968 PECOS PAC ID: 3476458092 Enrollment ID: O20031205000219 |
| Entity Name | Jefferson Davis Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043289572 PECOS PAC ID: 2365496775 Enrollment ID: O20050309000285 |
| Entity Name | Teche Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356658884 PECOS PAC ID: 0547456295 Enrollment ID: O20101122000141 |
| Entity Name | Abbeville Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760799290 PECOS PAC ID: 3375731185 Enrollment ID: O20101221000525 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Harry Lane Tuten Jr, MD 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (225) 765-5727 | Dr Harry Lane Tuten Jr, MD 595 W Carolina Ave, Varnville, SC 29944-4735 Ph: (803) 943-7600 |