| Mark A Tackett, MD | |
|
2025 W Everly Brothers Blvd, Powderly, KY 42367-5401 | |
| (270) 377-2600 | |
| (270) 377-2610 |
| Full Name | Mark A Tackett |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 28 Years |
| Location | 2025 W Everly Brothers Blvd, Powderly, Kentucky |
| 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 |
|---|---|---|---|
| 1144281791 | NPI | - | NPPES |
| 6401849200 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35646 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Caretenders | Owensboro, KY | Home health agency |
| Baptist Health Home Care | Madisonville, KY | Home health agency |
| Owensboro Health Regional Hospital | Owensboro, KY | Hospital |
| Baptist Health Madisonville | Madisonville, KY | Hospital |
| Redbanks Colonial Terrace | Sebree, KY | Nursing home |
| Joseph Eddie Ballard Western Kentucky Veterans Cen | Hanson, KY | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Owensboro Health Medical Group Inc | 0648255034 | 435 |
| Entity Name | Owensboro Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235518242 PECOS PAC ID: 0648255034 Enrollment ID: O20040621000818 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark A Tackett, MD Po Box 23229, Owensboro, KY 42304-3229 Ph: (270) 688-1330 | Mark A Tackett, MD 2025 W Everly Brothers Blvd, Powderly, KY 42367-5401 Ph: (270) 377-2600 |
Mrs. Kristy G Chappell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1010 Medical Center Drive, Powderly, KY 42367 Phone: 270-377-1622 Fax: 270-377-1692 | |
Jonathan Tyler Smith, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1010 Medical Center Dr, Powderly, KY 42367 Phone: 270-377-1600 |