| Mr Tucker Lee Brady, FNP | |
|
601 Brookman Dr Ext, Brookhaven, MS 39601-2371 | |
| (601) 823-5275 | |
| Not Available |
| Full Name | Mr Tucker Lee Brady |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 601 Brookman Dr Ext, Brookhaven, Mississippi |
| 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 |
|---|---|---|---|
| 1679107692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 903771 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| King's Daughters Medical Center-brookhaven | Brookhaven, MS | Hospital |
| Franklin County Memorial Hospital | Meadville, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kdmc Physician Clinics Llc | 7012154495 | 28 |
| Entity Name | Kings Daughters Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043245368 PECOS PAC ID: 3072575539 Enrollment ID: O20041028000174 |
| Entity Name | Kdmc Physician Clinics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861739161 PECOS PAC ID: 7012154495 Enrollment ID: O20130501000541 |
| Entity Name | Fast Pace Mississippi Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447769559 PECOS PAC ID: 3678832029 Enrollment ID: O20180111000291 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Tucker Lee Brady, FNP 1522 Old Highway 51 Ne, Brookhaven, MS 39601-9553 Ph: (601) 754-2690 | Mr Tucker Lee Brady, FNP 601 Brookman Dr Ext, Brookhaven, MS 39601-2371 Ph: (601) 823-5275 |
Miss Montoyae C Leavy, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 747 Industrial Park Rd Ne, Brookhaven, MS 39601 Phone: 601-833-4111 | |
Tonya C Hughey, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 940 Brookway Blvd, Brookhaven, MS 39601 Phone: 601-823-5000 Fax: 601-823-4140 | |
Mrs. Candace Laird Duckworth, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1578 Shanna Ln Nw, Brookhaven, MS 39601 Phone: 601-757-9659 | |
Marty Kyle Ballard Sr., FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 327 N Jackson St, Brookhaven, MS 39601 Phone: 601-833-3800 Fax: 601-833-3847 | |
Jennifer D Smith, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1005 W Congress St, Brookhaven, MS 39601 Phone: 601-833-9388 Fax: 601-833-9495 | |
Maranda Jordan Guess, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 301c Highway 51 S, Brookhaven, MS 39601 Phone: 601-835-1062 | |
Miss Brittany Griffin Mullins, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 Highway 51 N Ste A, Brookhaven, MS 39601 Phone: 601-833-5333 |