Khudsiatu Tucker, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Bladensburg, Maryland. She graduated from nursing school in 2010 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Addiction Medication Clinic Llc and her current practice location is
5632 Annapolis Rd Ste 11, Bladensburg, Maryland. You can reach out to her office (for appointments etc.) via phone at
(240) 486-7097.
Khudsiatu Tucker is licensed to practice in Maryland (license number R166523) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1831707488.
Provider's Profile
| Full Name | Khudsiatu Tucker |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Experience | 16 Years |
|---|
| Location | 5632 Annapolis Rd Ste 11, Bladensburg, Maryland |
|---|
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Khudsiatu Tucker graduated from nursing school in 2010
NPI Data:
- NPI Number: 1831707488
- Provider Enumeration Date: 07/20/2020
- Last Update Date: 05/05/2026
Medicare PECOS Information:
- PECOS PAC ID: 4587074455
- Enrollment ID: I20210830002337
Medical Identifiers
Medical identifiers for Khudsiatu Tucker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1831707488 | NPI | - | NPPES |
| 547056100 | Medicaid | MD | |
| 1831707488 | Medicaid | VA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 0024179570 (Virginia) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R166523 (Maryland) | Primary |
| 363LF0000X | Nurse Practitioner - Family | R166523 (Maryland) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | L8-0011097 (Delaware) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Addiction Medication Clinic Llc | 9739660747 | 9 |
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. Khudsiatu 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 |
Khudsiatu Tucker, 5632 Annapolis Rd Ste 11, Bladensburg, MD 20710-2213 Ph: (240) 486-7097 | Khudsiatu Tucker, 5632 Annapolis Rd Ste 11, Bladensburg, MD 20710-2213 Ph: (240) 486-7097 |
Reviews and Comments