| James Edwin Tucker, DO | |
|
6500 Hospital Dr, Hannibal, MO 63401 | |
| (573) 629-3440 | |
| (573) 629-3423 |
| Full Name | James Edwin Tucker |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 10 Years |
| Location | 6500 Hospital Dr, Hannibal, Missouri |
| 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 |
|---|---|---|---|
| 1851772289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2015017297 (Missouri) | Secondary |
| 207Q00000X | Family Medicine | 2016033286 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hannibal Regional Hospital Home Health Agency | Hannibal, MO | Home health agency |
| Community Loving Care Hospice | Wentzville, MO | Hospice |
| Hannibal Regional Hospital | Hannibal, MO | Hospital |
| Blessing Hospital | Quincy, IL | Hospital |
| Luther Manor Retirement & Nursing Center | Hannibal, MO | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hannibal Regional Healthcare System Inc | 1254236300 | 227 |
| Entity Name | Hannibal Regional Healthcare System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134311392 PECOS PAC ID: 1254236300 Enrollment ID: O20071004000422 |
| Mailing Address | Practice Location Address |
|---|---|
| James Edwin Tucker, DO Po Box 1239, Hannibal, MO 63401-1239 Ph: (573) 629-3440 | James Edwin Tucker, DO 6500 Hospital Dr, Hannibal, MO 63401 Ph: (573) 629-3440 |
Adam Samaritoni, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6500 Hospital Dr, Family Medicine, Hannibal, MO 63401 Phone: 573-629-3440 Fax: 573-629-3415 | |
Joseph Albert Amavisca, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Dr, Hannibal, MO 63401 Phone: 573-221-5250 Fax: 573-221-3706 | |
Hossein Behniaye, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6500 Hospital Dr, Hannibal, MO 63401 Phone: 573-629-3400 Fax: 573-629-3414 | |
Dr. Leslie A Mccoy, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Medical Dr, Hannibal, MO 63401 Phone: 573-231-3132 Fax: 573-231-3716 | |
Dr. Erick O Calmet Del Castillo, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6500 Hospital Dr, Hannibal, MO 63401 Phone: 573-629-3440 Fax: 573-629-3423 | |
Dr. Lent C Johnson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Medical Dr, Hannibal, MO 63401 Phone: 573-231-3141 Fax: 573-231-3710 | |
Dr. Allyson Lynn Munch, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6500 Hospital Dr, Hannibal, MO 63401 Phone: 573-629-3400 Fax: 573-629-3423 |