Mrs Kaitlyn Diane Tucker, PA-C is a medicare enrolled "Internal Medicine - Endocrinology, Diabetes & Metabolism" in Louisville, Kentucky. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice University Of Louisville Physicians Inc and her current practice location is
6400 Dutchmans Pkwy Ste 345, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(502) 587-6010.
Mrs Kaitlyn Diane Tucker is licensed to practice in Georgia (license number 006465) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1225390891.
Provider's Profile
| Full Name | Mrs Kaitlyn Diane Tucker |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 12 Years |
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| Location | 6400 Dutchmans Pkwy Ste 345, Louisville, Kentucky |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Kaitlyn Diane Tucker graduated from nursing school in 2012
NPI Data:
- NPI Number: 1225390891
- Provider Enumeration Date: 06/11/2012
- Last Update Date: 11/14/2020
Medicare PECOS Information:
- PECOS PAC ID: 2961668710
- Enrollment ID: I20201208001306
Medical Identifiers
Medical identifiers for Mrs Kaitlyn Diane Tucker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1225390891 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | (Kentucky) | Secondary |
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 006465 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| University Of Louisville Physicians Inc | 3476725599 | 1102 |
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 Kaitlyn Diane 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 Kaitlyn Diane Tucker, PA-C
Po Box 909,
Louisville, KY 40201-0909
Ph: (502) 587-6010 | Mrs Kaitlyn Diane Tucker, PA-C
6400 Dutchmans Pkwy Ste 345,
Louisville, KY 40205-3370
Ph: (502) 587-6010 |
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