| James Robert Tucker, CRNA | |
|
1200 W Maple Ave, Geneva, AL 36340-1642 | |
| (334) 684-3655 | |
| Not Available |
| Full Name | James Robert Tucker |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 22 Years |
| Location | 1200 W Maple Ave, Geneva, Alabama |
| 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 |
|---|---|---|---|
| 1346254943 | NPI | - | NPPES |
| 1-084210 | Other | AL | ALABAMA BOARD OF NURSING |
| 051524147 | Other | AL | BCBS |
| 051554570 | Medicaid | AL | |
| 311783900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 1-084210 (Alabama) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Geneva County Healthcare Authority Inc | 0244222487 | 15 |
| Dothan Anesthesiology Associates Pc | 2769417583 | 41 |
| Ambulatory Management Llc | 9436501178 | 9 |
| Entity Name | Geneva County Healthcare Authority Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992755292 PECOS PAC ID: 0244222487 Enrollment ID: O20040330001574 |
| Entity Name | Southern Alabama Surgery Center Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1346349164 PECOS PAC ID: 2062461460 Enrollment ID: O20050112000767 |
| Entity Name | Dothan Anesthesiology Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013997857 PECOS PAC ID: 2769417583 Enrollment ID: O20050929001368 |
| Entity Name | Epix Anesthesia Of Alabama Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629427059 PECOS PAC ID: 8022300748 Enrollment ID: O20160715001459 |
| Entity Name | Veronox Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669951604 PECOS PAC ID: 0143572891 Enrollment ID: O20181009000934 |
| Entity Name | Geneva County Healthcare Authority Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003943531 PECOS PAC ID: 0244222487 Enrollment ID: O20190206002405 |
| Entity Name | Ambulatory Management Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003690744 PECOS PAC ID: 9436501178 Enrollment ID: O20240118002640 |
| Mailing Address | Practice Location Address |
|---|---|
| James Robert Tucker, CRNA 1200 W Maple Ave, Geneva, AL 36340-1642 Ph: (334) 684-3655 | James Robert Tucker, CRNA 1200 W Maple Ave, Geneva, AL 36340-1642 Ph: (334) 684-3655 |