Michael Tucker, PHYSICIAN ASSISTANT in Milwaukee, WI

Michael Tucker, PHYSICIAN ASSISTANT is a medicare enrolled "Physician Assistant" in Milwaukee, Wisconsin. His current practice location is 5171 N Santa Monica Blvd, Apt 4, Milwaukee, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (414) 828-7761.

Michael Tucker is licensed to practice in Wisconsin (license number 3630-23) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1417332321.

Contact Information

	Michael Tucker, PHYSICIAN ASSISTANT
	5171 N Santa Monica Blvd, Apt 4, Milwaukee, WI 53217-5538
	(414) 828-7761
	Not Available

Map and Direction

Provider's Profile

Full Name	Michael Tucker
Gender	Male
Speciality	Physician Assistant
Location	5171 N Santa Monica Blvd, Milwaukee, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417332321
Provider Enumeration Date: 07/22/2015
Last Update Date: 12/02/2021

Medicare PECOS Information:

PECOS PAC ID: 9234443185
Enrollment ID: I20150805008222

Medical Identifiers

Medical identifiers for Michael Tucker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417332321	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	3630-23 (Wisconsin)	Primary

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. Michael 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
Michael Tucker, PHYSICIAN ASSISTANT 5171 N Santa Monica Blvd, Apt 4, Milwaukee, WI 53217-5538 Ph: (414) 828-7761	Michael Tucker, PHYSICIAN ASSISTANT 5171 N Santa Monica Blvd, Apt 4, Milwaukee, WI 53217-5538 Ph: (414) 828-7761

Reviews and Comments

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Michael Tucker, PHYSICIAN ASSISTANT - Medicare Physician Assistant in Milwaukee, WI