| Lori Tucker, DO | |
|
904 Harrison St, Princeton, WV 24740 | |
| (304) 431-7100 | |
| (304) 431-7112 |
| Full Name | Lori Tucker |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 28 Years |
| Location | 904 Harrison St, Princeton, West Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174534291 | NPI | - | NPPES |
| 1808681000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 1960 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Clinton Memorial Hospital | Wilmington, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wilmington Physicians Group Llc | 4688853419 | 29 |
| Entity Name | Wilmington Physicians Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932401411 PECOS PAC ID: 4688853419 Enrollment ID: O20110126000617 |
| Entity Name | Change Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245244367 PECOS PAC ID: 1759325327 Enrollment ID: O20130304000156 |
| Mailing Address | Practice Location Address |
|---|---|
| Lori Tucker, DO Po Box 1138, Princeton, WV 24740 Ph: (304) 431-7100 | Lori Tucker, DO 904 Harrison St, Princeton, WV 24740 Ph: (304) 431-7100 |
Dr. Robert Wilson Edwards, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 218 Undercliff Ter, Princeton, WV 24740 Phone: 304-327-1890 Fax: 304-325-1908 | |
Dr. Joe Carey Ellington Jr., PH.D., M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 112 Undercliff Ter, Princeton, WV 24740 Phone: 304-425-3800 Fax: 304-487-3914 | |
Randy M Brodnik, DO FACOG Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 150 Courthouse Rd Ste 202, Princeton, WV 24740 Phone: 304-327-0531 Fax: 304-324-0548 | |
Brandon M Lingenfelter, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 411 12th Street Ext, Princeton, WV 24740 Phone: 681-282-5591 Fax: 681-282-5593 |