Mrs Autumn Rae Tucker, CNP in Mission, SD - Medicare Nurse Practitioner

Mrs Autumn Rae Tucker, CNP is a medicare enrolled "Nurse Practitioner" in Mission, South Dakota. Her current practice location is 161 S, Main Street, Mission, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 856-2295.

Mrs Autumn Rae Tucker is licensed to practice in South Dakota (license number CP001196) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1225578198.

Contact Information

	Mrs Autumn Rae Tucker, CNP
	161 S, Main Street, Mission, SD 57555
	(605) 856-2295
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Autumn Rae Tucker
Gender	Female
Speciality	Nurse Practitioner
Location	161 S, Main Street, Mission, South Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225578198
Provider Enumeration Date: 02/27/2017
Last Update Date: 01/09/2024

Medicare PECOS Information:

PECOS PAC ID: 0547538696
Enrollment ID: I20170614002493

Medical Identifiers

Medical identifiers for Mrs Autumn Rae Tucker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225578198	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	CP001196 (South Dakota)	Secondary
363L00000X	Nurse Practitioner	CP001196 (South Dakota)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Autumn Rae Tucker allows following entities to bill medicare on her behalf.

Entity Name	Horizon Health Care Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356459382 PECOS PAC ID: 8921997933 Enrollment ID: O20040315000974

Entity Name	Dakota Behavioral Health Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124889381 PECOS PAC ID: 7113362880 Enrollment ID: O20240304003273

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. Mrs Autumn Rae 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
Mrs Autumn Rae Tucker, CNP 161 S Main St., Mission, SD 57555 Ph: (605) 856-2295	Mrs Autumn Rae Tucker, CNP 161 S, Main Street, Mission, SD 57555 Ph: (605) 856-2295

Reviews and Comments

Nurse Practitioner Nurses in Mission, SD

Briana Broschat, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 161 Main St, Mission, SD 57555 Phone: 856-605-2295
Ryan Ross Rowe, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 161 S. Main, Mission, SD 57555 Phone: 605-856-2295
Alyssa Morgan Hicks, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 161 S Main Street, Mission, SD 57555 Phone: 605-856-2295 Fax: 866-423-6811
Carrie Kocer, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 161 South Main Street, Mission, SD 57555 Phone: 605-856-2295

Mrs Autumn Rae Tucker, CNP - Medicare Nurse Practitioner in Mission, SD