| Jeremy Tucker, | |
|
25500 Point Lookout Road, Leonardtown, MD 20650 | |
| (301) 279-6550 | |
| Not Available |
| Full Name | Jeremy Tucker |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 27 Years |
| Location | 25500 Point Lookout Road, Leonardtown, Maryland |
| 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 |
|---|---|---|---|
| 1134153620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | H63519 (Maryland) | Primary |
| 207P00000X | Emergency Medicine | DOS-2147 (Hawaii) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Hawaii Community Hospital | Kamuela, HI | Hospital |
| Kona Community Hospital | Kealakekua, HI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hawaii Emergency Physicians Associated Inc | 2860390283 | 97 |
| Entity Name | Hawaii Emergency Physicians Associated Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801843198 PECOS PAC ID: 2860390283 Enrollment ID: O20040127001137 |
| Entity Name | Kau Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144304338 PECOS PAC ID: 7416945548 Enrollment ID: O20040601000398 |
| Entity Name | Hale Ho Ola Hamakua |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164506317 PECOS PAC ID: 7810926029 Enrollment ID: O20200304002483 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy Tucker, Po Box 17564, Baltimore, MD 21297-1564 Ph: () - | Jeremy Tucker, 25500 Point Lookout Road, Leonardtown, MD 20650 Ph: (301) 279-6550 |
James Damalouji, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 25500 Point Lookout Road, Leonardtown, MD 20650 Phone: 301-279-6550 | |
Amy Zerden, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 25500 Point Lookout Rd, Leonardtown, MD 20650 Phone: 301-475-8981 | |
Peter Prentice, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 25500 Point Lookout Road, Leonardtown, MD 20650 Phone: 301-279-6550 | |
Dr. James Mcquiston, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 25500 Point Lookout Road, Leonardtown, MD 20650 Phone: 301-279-6550 | |
Dr. Saad Dean Zaatari, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 25500 Point Lookout Rd, Leonardtown, MD 20650 Phone: 301-475-6111 | |
Jonathan Wenk, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 25500 Point Lookout Road, Leonardtown, MD 20650 Phone: 301-279-6550 |