| Moises B Tuckler, PA-C | |
|
6463 Oregon Jay Rd, Weeki Wachee, FL 34613-6311 | |
| (352) 596-6114 | |
| (352) 596-0784 |
| Full Name | Moises B Tuckler |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 6463 Oregon Jay Rd, Weeki Wachee, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659838597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA9112030 (Florida) | Primary |
| Entity Name | Lindo Medical Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154464097 PECOS PAC ID: 5799877619 Enrollment ID: O20070823000512 |
| Entity Name | Suncoast Urgent Care Centers LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780890053 PECOS PAC ID: 5991878316 Enrollment ID: O20080718000084 |
| Entity Name | Absolute Healthcare, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942557848 PECOS PAC ID: 3173771268 Enrollment ID: O20120914000247 |
| Entity Name | All American Urgent Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588075931 PECOS PAC ID: 2466764832 Enrollment ID: O20150629001344 |
| Entity Name | Myprimary, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992431233 PECOS PAC ID: 0547629289 Enrollment ID: O20230628004515 |
| Mailing Address | Practice Location Address |
|---|---|
| Moises B Tuckler, PA-C 6463 Oregon Jay Rd, Weeki Wachee, FL 34613-6311 Ph: (352) 596-6114 | Moises B Tuckler, PA-C 6463 Oregon Jay Rd, Weeki Wachee, FL 34613-6311 Ph: (352) 596-6114 |
Theodora Patsioura, Physician Assistant Medicare: Medicare Enrolled Practice Location: 4270 Lake In The Woods Dr, Weeki Wachee, FL 34607 Phone: 352-597-7249 Fax: 352-597-9523 |
Miss Michelle Nancy Thomsen, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 10065 Cortez Blvd, Weeki Wachee, FL 34613 Phone: 352-596-4660 Fax: 352-596-4674 |