Iesha Marlena Tucker, NP is a medicare enrolled "Nurse Practitioner - Family" in Rocky Top, Tennessee. She graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Eastlake Medical, Llc and her current practice location is
510 N Main St, Rocky Top, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(865) 205-9582.
Iesha Marlena Tucker is licensed to practice in Tennessee (license number 27010) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1023649662.
Provider's Profile
| Full Name | Iesha Marlena Tucker |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 510 N Main St, Rocky Top, Tennessee |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Iesha Marlena Tucker graduated from nursing school in 2019
NPI Data:
- NPI Number: 1023649662
- Provider Enumeration Date: 02/03/2020
- Last Update Date: 11/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 8123430071
- Enrollment ID: I20201217000448
Medical Identifiers
Medical identifiers for Iesha Marlena Tucker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1023649662 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 27010 (Tennessee) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Eastlake Medical, Llc | 6901174788 | 5 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Iesha Marlena Tucker allows following entities to bill medicare on her behalf.
| Entity Name | Fast Pace Medical Clinic Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134452865
PECOS PAC ID: 5395881841
Enrollment ID: O20091014000112 |
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| Entity Name | Eastlake Medical, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467992446
PECOS PAC ID: 6901174788
Enrollment ID: O20170620001620 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Iesha Marlena Tucker is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Iesha Marlena Tucker, NP
2205 Jacksboro Pike,
La Follette, TN 37766-2904
Ph: (423) 352-6500 | Iesha Marlena Tucker, NP
510 N Main St,
Rocky Top, TN 37769-2818
Ph: (865) 205-9582 |
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