| Dr Kevin P Tucker, MD | |
|
2901 W Kinnickinnic River Pkwy Ste 413, Milwaukee, WI 53215-3660 | |
| (414) 383-7744 | |
| (414) 383-8089 |
| Full Name | Dr Kevin P Tucker |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 20 Years |
| Location | 2901 W Kinnickinnic River Pkwy Ste 413, Milwaukee, Wisconsin |
| 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 |
|---|---|---|---|
| 1295809036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 51647 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Davita - Oak Creek | Oak creek, WI | Dialysis facility |
| Davita - Rivercenter Dr | Milwaukee, WI | Dialysis facility |
| Vitas Healthcare Corp Midwest | Wauwatosa, WI | Hospice |
| Hometown Hospice And Homecare | Brookfield, WI | Hospice |
| Aurora St Lukes Medical Center | Milwaukee, WI | Hospital |
| Ascension Se Wisconsin Hospital - St Joseph Campus | Milwaukee, WI | Hospital |
| Maplewood Center | West allis, WI | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Milwaukee Nephrologists Sc | 4385538446 | 20 |
| Entity Name | Milwaukee Nephrologists Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982763405 PECOS PAC ID: 4385538446 Enrollment ID: O20040210000576 |
| Entity Name | Oak Medical Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669910345 PECOS PAC ID: 0042595175 Enrollment ID: O20170331001848 |
| Entity Name | Maple Medical Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487152104 PECOS PAC ID: 9032471248 Enrollment ID: O20180328002607 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kevin P Tucker, MD 2514 S 102nd St, Suite 120, West Allis, WI 53227-2142 Ph: (414) 777-5200 | Dr Kevin P Tucker, MD 2901 W Kinnickinnic River Pkwy Ste 413, Milwaukee, WI 53215-3660 Ph: (414) 383-7744 |
Julia Bonner, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 3351 North Downer Avenue, Milwaukee, WI 53211 Phone: 414-229-5684 | |
Dr. Zachary Smith, DO Nephrology Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-955-6830 Fax: 414-955-6214 | |
Dr. Christopher Patrick Boyd, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-6000 Fax: 414-805-6280 | |
Umair Bajwa, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-0812 Fax: 414-805-0855 | |
Rasika Surajyam Chepuri, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-955-7040 Fax: 414-955-6211 | |
Therese J. Lange, MD Nephrology Medicare: Medicare Enrolled Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-6550 Fax: 414-805-6550 | |
Soryal A Soryal, M.D Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1020 N 12th St, 3rd Floor, Milwaukee, WI 53233 Phone: 414-219-7300 |