| Deadra Renea Tucker, APN | |
|
491 Majors Blvd, Lynchburg, TN 37352-8344 | |
| (931) 759-4727 | |
| (931) 759-4729 |
| Full Name | Deadra Renea Tucker |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 15 Years |
| Location | 491 Majors Blvd, Lynchburg, Tennessee |
| 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 |
|---|---|---|---|
| 1174828180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 15536 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southern Tennessee Regional Hlth System Winchester | Winchester, TN | Hospital |
| Tennova Healthcare-harton | Tullahoma, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Amg-southern Tennessee Llc | 5991765943 | 47 |
| Entity Name | Amg-southern Tennessee Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164789467 PECOS PAC ID: 5991765943 Enrollment ID: O20041013001206 |
| Entity Name | Fast Pace Medical Clinic Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134452865 PECOS PAC ID: 5395881841 Enrollment ID: O20091014000112 |
| Mailing Address | Practice Location Address |
|---|---|
| Deadra Renea Tucker, APN 5135 Winchester Hwy, Lynchburg, TN 37352-8458 Ph: (931) 759-4949 | Deadra Renea Tucker, APN 491 Majors Blvd, Lynchburg, TN 37352-8344 Ph: (931) 759-4727 |
Conan M Carter, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12 Magnolia Dr, Lynchburg, TN 37352 Phone: 931-759-5044 Fax: 931-759-5042 | |
Kenneth Brown, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 445 Crest Dr, Lynchburg, TN 37352 Phone: 615-305-7776 | |
Mrs. Jana M. Stovall, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 491 Majors Blvd, Lynchburg, TN 37352 Phone: 931-759-4727 Fax: 931-759-4729 |