| Robert W Tucker, PA | |
|
218 Quarterman Street, Waycross, GA 31501-3547 | |
| (912) 287-0301 | |
| (912) 287-1568 |
| Full Name | Robert W Tucker |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 218 Quarterman Street, Waycross, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710951595 | NPI | - | NPPES |
| 100002789C | Medicaid | GA | |
| 100002789B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 002765 (Georgia) | Primary |
| Entity Name | Phoebe Putney Memorial Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992789721 PECOS PAC ID: 4486559549 Enrollment ID: O20031203000397 |
| Entity Name | Phoebe Sumter Medical Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609001312 PECOS PAC ID: 4385789213 Enrollment ID: O20110324000491 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert W Tucker, PA 218 Quarterman Street, Waycross, GA 31501-3547 Ph: (912) 287-0301 | Robert W Tucker, PA 218 Quarterman Street, Waycross, GA 31501-3547 Ph: (912) 287-0301 |
Clay A Lee, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2100 Riverside Ave, Waycross, GA 31501 Phone: 912-490-7777 Fax: 912-490-7778 |
Mr. Robert Allen Giles Jr., MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1900 Tebeau St, Waycross, GA 31501 Phone: 283-912-3030 |
Thomas Johnstone Campen, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 410 Darling Ave, Waycross, GA 31501 Phone: 912-287-2513 Fax: 912-287-2532 |
Dr. Adam Ransford Corman, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1900 Tebeau St., Mayo Clinic Health Systems, Waycross, GA 31501 Phone: 912-338-6355 Fax: 912-287-2712 |
Phillip G. Grooms, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 515 City Blvd Ste B, Waycross, GA 31501 Phone: 912-279-4400 Fax: 912-279-4408 |
Dale Tucker, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1506 Alice St, Waycross, GA 31501 Phone: 912-584-6500 |
Jerry Mullis, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2100 Riverside Ave, Waycross, GA 31501 Phone: 912-490-7777 |