| Dr Keith Anthony Tucci, MD | |
|
2100 Stantonsburg Rd, Greenville, NC 27834-2818 | |
| (252) 752-5156 | |
| (252) 752-0419 |
| Full Name | Dr Keith Anthony Tucci |
|---|---|
| Gender | Male |
| Speciality | Neurological Surgery |
| Location | 2100 Stantonsburg Rd, Greenville, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194836973 | NPI | - | NPPES |
| 83882 | Other | NC | BCBS NC |
| P00680954 | Other | NC | RAILROAD MEDICARE |
| 8983882 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 9300351 (North Carolina) | Primary |
| Entity Name | Vidant Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Keith Anthony Tucci, MD 2325 Stantonsburg Road, Greenville, NC 27834 Ph: () - | Dr Keith Anthony Tucci, MD 2100 Stantonsburg Rd, Greenville, NC 27834-2818 Ph: (252) 752-5156 |
Dr. Regis G Hoppenot, M.D., M.P.H. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 2325 Stantonsburg Rd, Greenville, NC 27834 Phone: 252-752-5156 Fax: 252-752-4019 | |
Mrs. Connie D Cerne, PAC Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 2325 Stantonsburg Road, Greenville, NC 27834 Phone: 252-752-5156 Fax: 252-752-0399 | |
Dr. Jennifer Griswold, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 2325 Stantonsburg Rd, Greenville, NC 27834 Phone: 252-847-1550 | |
Hilal Kanaan, MD Neurological Surgery Medicare: May Accept Medicare Assignments Practice Location: 2325 Stantonsburg Rd, Ecu Physicians Neurosurgical And Spine Center, Greenville, NC 27834 Phone: 252-752-5156 Fax: 252-752-0419 | |
Mr. Kenneth Stuart Lee, M. D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 2325 Stantonsburg Rd, Ecu Physicians Beurosurgical & Spine Center, Greenville, NC 27834 Phone: 252-752-5156 Fax: 252-752-0419 | |
Dr. Richard Tyler Dalyai, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 2325 Stantonsburg Rd, Greenville, NC 27834 Phone: 252-847-1550 |