| Gregory Charles Tuke, MD | |
|
5 S Centre Ave, A3, Leesport, PA 19533-8653 | |
| (610) 926-5707 | |
| (610) 926-8352 |
| Full Name | Gregory Charles Tuke |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 5 S Centre Ave, Leesport, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891750899 | NPI | - | NPPES |
| 0009771300008 | Medicaid | PA | |
| 111217 | Other | PA | HIGHMARK BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD028848E (Pennsylvania) | Primary |
| Entity Name | Penn State Health Community Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861988644 PECOS PAC ID: 8729351077 Enrollment ID: O20170907002279 |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory Charles Tuke, MD Po Box 448, East Petersburg, PA 17520-0448 Ph: (610) 926-5707 | Gregory Charles Tuke, MD 5 S Centre Ave, A3, Leesport, PA 19533-8653 Ph: (610) 926-5707 |
Dr. Joanna Grzadziel, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5 S Centre Ave Ste A3, Leesport, PA 19533 Phone: 610-926-5707 Fax: 610-926-8352 | |
Timothy John Makatche, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 5 S Centre Ave, A3, Leesport, PA 19533 Phone: 610-926-5707 Fax: 610-926-8352 | |
Dr. Kenneth J. Lord, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 111 Robby Dr, Leesport, PA 19533 Phone: 610-223-8885 | |
Dr. David C Brock, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1011 Berk Rd, Leesport, PA 19533 Phone: 610-376-4841 Fax: 610-376-4168 | |
Dr. Douglas Clarence Leder, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5 S Centre Ave Ste A3, Leesport, PA 19533 Phone: 610-921-6570 Fax: 610-926-8352 | |
David W Bowers, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5471b Pottsville Pike, Leesport, PA 19533 Phone: 610-916-1050 |