| Kelly Marie Tucker, FNP | |
|
6950 S Transit Rd, Lockport, NY 14094-6333 | |
| (716) 630-1335 | |
| (716) 817-1770 |
| Full Name | Kelly Marie Tucker |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 6950 S Transit Rd, Lockport, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144003286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F352150-01 (New York) | Primary |
| Entity Name | Buffalo Medical Group, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881659506 PECOS PAC ID: 7012820301 Enrollment ID: O20031112000213 |
| Entity Name | Buffalo-niagara Hospitalists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871830208 PECOS PAC ID: 3375789050 Enrollment ID: O20130425000195 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Marie Tucker, FNP 425 Essjay Rd Ste 170, Williamsville, NY 14221-8235 Ph: (716) 630-1219 | Kelly Marie Tucker, FNP 6950 S Transit Rd, Lockport, NY 14094-6333 Ph: (716) 630-1335 |
Stacie Grant, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 38 Heritage Ct, Lockport, NY 14094 Phone: 716-433-4465 | |
Mrs. Sara Ann Altieri, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5846 Snyder Dr, Lockport, NY 14094 Phone: 716-433-3053 Fax: 716-433-3118 | |
Amanda Ann Ulsifer, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5526 Niagara Street Ext, Lockport, NY 14094 Phone: 716-438-3429 Fax: 716-438-3428 | |
Ms. Ann Catherine Coia, RN, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4675 Sunset Dr, Lockport, NY 14094 Phone: 716-439-4417 Fax: 716-439-6214 | |
Mrs. Jane K James, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5879 Snyder Dr, Lockport, NY 14094 Phone: 716-433-8751 | |
Maxine Kidder, P.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 139 Professional Pkwy, Lockport, NY 14094 Phone: 716-433-6711 Fax: 716-433-0546 |