| Tucker Greene, | |
|
636 Del Prado Blvd S, Cape Coral, FL 33990-2668 | |
| (239) 772-6513 | |
| Not Available |
| Full Name | Tucker Greene |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 32 Years |
| Location | 636 Del Prado Blvd S, Cape Coral, 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 |
|---|---|---|---|
| 1023073392 | NPI | - | NPPES |
| 255763100 | Medicaid | FL | |
| 218034 | Other | FL | AMERIGROUP |
| 5268640 | Other | FL | AETNA |
| 44859 | Other | FL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PE0005X | Emergency Medicine - Undersea And Hyperbaric Medicine | ME76719 (Florida) | Secondary |
| 207P00000X | Emergency Medicine | ME76719 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fawcett Memorial Hospital | Port charlotte, FL | Hospital |
| Physicians Regional Medical Center - Pine Ridge | Naples, FL | Hospital |
| Entity Name | Catalyst Walk-in Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194102285 PECOS PAC ID: 6800104860 Enrollment ID: O20150924003239 |
| Entity Name | Integrated Emergency Medicine Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174991632 PECOS PAC ID: 7517267628 Enrollment ID: O20151121000178 |
| Entity Name | Physician Medical Solutions Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174915045 PECOS PAC ID: 9335430107 Enrollment ID: O20160627000114 |
| Entity Name | Wellness By Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821459322 PECOS PAC ID: 4688966260 Enrollment ID: O20160630001774 |
| Entity Name | Physicians For Quality Healthcare,inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528353554 PECOS PAC ID: 1052583002 Enrollment ID: O20160822001058 |
| Entity Name | Ptg Medical Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043931439 PECOS PAC ID: 8527437409 Enrollment ID: O20221215002580 |
| Entity Name | Emergency Medicine Services Of Fl Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043917180 PECOS PAC ID: 8426413931 Enrollment ID: O20230504001881 |
| Mailing Address | Practice Location Address |
|---|---|
| Tucker Greene, 6896 W Snowville Rd, Brecksville, OH 44141-3214 Ph: () - | Tucker Greene, 636 Del Prado Blvd S, Cape Coral, FL 33990-2668 Ph: (239) 772-6513 |
Connor Mech Montgomery, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 636 Del Prado Blvd S, Cape Coral, FL 33990 Phone: 239-424-3513 Fax: 239-424-4039 | |
Dr. Tyler Charles Ensley, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: Cape Coral Hospital, 636 Del Prado Blvd, Cape Coral, FL 33990 Phone: 239-424-3513 Fax: 239-424-4039 | |
Alan B Claunch, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 636 Del Prado Blvd S, Cape Coral, FL 33990 Phone: 239-772-6513 Fax: 239-574-0269 | |
Timothy Dougherty, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 636 Del Prado Blvd S, Cape Coral, FL 33990 Phone: 239-772-6513 | |
Dr. Michael C Haupt, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 708 Del Prado Blvd, Suite 9, Cape Coral, FL 33990 Phone: 239-574-2644 Fax: 239-574-1451 | |
Kurt Mueller, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 636 Del Prado Blvd S, 1030, Cape Coral, FL 33990 Phone: 239-424-3513 Fax: 239-424-4039 |