| Kenneth B Tucker, MD | |
|
180 N Watersound Pkwy, Inlet Beach, FL 32461-7274 | |
| (850) 278-3551 | |
| (850) 378-3596 |
| Full Name | Kenneth B Tucker |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 30 Years |
| Location | 180 N Watersound Pkwy, Inlet Beach, Florida |
| 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 |
|---|---|---|---|
| 1346294204 | NPI | - | NPPES |
| 51040677 | Other | AL | BCBS |
| 000810983B | Medicaid | GA | |
| 000040677 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME160121 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kindred At Home | Fort walton beach, FL | Home health agency |
| Sacred Heart Hospital | Pensacola, FL | Hospital |
| Sacred Heart Hospital On The Emerald Coast | Miramar beach, FL | Hospital |
| Ascension Sacred Heart Bay | Panama city, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dothan Medical Associates, P.c. | 7416848247 | 18 |
| Sacred Heart Health System Inc | 3779491386 | 365 |
| Entity Name | Houston County Healthcare Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619026606 PECOS PAC ID: 9436062296 Enrollment ID: O20040219000209 |
| Entity Name | Dothan Medical Associates, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972693778 PECOS PAC ID: 7416848247 Enrollment ID: O20040322001673 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth B Tucker, MD 4205 Belfort Rd Ste 4015, Jacksonville, FL 32216-3623 Ph: (904) 450-6063 | Kenneth B Tucker, MD 180 N Watersound Pkwy, Inlet Beach, FL 32461-7274 Ph: (850) 278-3551 |
Lauren Stipp, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12805 Us Highway 98 E, Inlet Beach, FL 32461 Phone: 850-278-3390 Fax: 850-278-3389 | |
Elizabeth B Tucker, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12805 Us Highway 98 E Unit G201, Inlet Beach, FL 32461 Phone: 850-278-3466 Fax: 850-278-3467 | |
Dr. Michelle E Parker, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12805 Hwy 98, G201, Inlet Beach, FL 32461 Phone: 850-278-3466 Fax: 850-278-3467 |