| Melissa Wilson Tucker, MD | |
|
3680 Sangani Blvd, Diberville, MS 39540-8703 | |
| (228) 354-9300 | |
| (228) 354-9301 |
| Full Name | Melissa Wilson Tucker |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 3680 Sangani Blvd, Diberville, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649473919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 22560 (Mississippi) | Primary |
| Entity Name | Memorial Hospital At Gulfport |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215546635 PECOS PAC ID: 2466524012 Enrollment ID: O20090515000396 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Wilson Tucker, MD 3680 Sangani Blvd, Diberville, MS 39540-8703 Ph: (228) 354-9300 | Melissa Wilson Tucker, MD 3680 Sangani Blvd, Diberville, MS 39540-8703 Ph: (228) 354-9300 |
Dr. Herman Marx Sacks, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3661 Sangani Blvd Ste E, Diberville, MS 39540 Phone: 228-354-0022 Fax: 228-354-0088 | |
Carol Ann Hall, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10319 Diberville Blvd, Diberville, MS 39540 Phone: 229-396-2999 Fax: 228-396-2113 | |
Vanessa Lynn Duncombe, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3920 Promenade Pkwy, Suite A, Diberville, MS 39540 Phone: 228-456-0173 Fax: 228-456-0174 |