| Jackson Seth Tucker, AA | |
|
915 Gordon Ave, Thomasville, GA 31792-6614 | |
| (800) 232-5703 | |
| Not Available |
| Full Name | Jackson Seth Tucker |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology Assistant |
| Experience | 13 Years |
| Location | 915 Gordon Ave, Thomasville, Georgia |
| 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 |
|---|---|---|---|
| 1053669119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 00123 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| John D Archbold Memorial Hospital | Thomasville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| South Georgia Anesthesia Associates, Pc | 1759349830 | 26 |
| Entity Name | South Georgia Anesthesia Associates, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285605733 PECOS PAC ID: 1759349830 Enrollment ID: O20041221000350 |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson Seth Tucker, AA Po Box 2125, Columbus, GA 31902-2125 Ph: (800) 232-5703 | Jackson Seth Tucker, AA 915 Gordon Ave, Thomasville, GA 31792-6614 Ph: (800) 232-5703 |
Donald Bruhn, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 915 Gordon Ave, Thomasville, GA 31792 Phone: 334-279-1450 | |
Christopher J Mock, CRNA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 915 Gordon Ave, Thomasville, GA 31792 Phone: 334-279-1450 Fax: 334-395-4110 | |
Mark Moody, AA Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 915 Gordon Ave, Thomasville, GA 31792 Phone: 334-279-1450 Fax: 334-395-4110 | |
Mckayla Noble Tanner, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 915 Gordon Ave, Thomasville, GA 31792 Phone: 334-279-1450 Fax: 334-279-1660 |