| Ms Brittany Whiteside Tucker, PA | |
|
316 Calhoun St, Charleston, SC 29401-1113 | |
| (843) 724-2010 | |
| (843) 724-2005 |
| Full Name | Ms Brittany Whiteside Tucker |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 316 Calhoun St, Charleston, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124369194 | NPI | - | NPPES |
| 1685PA | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1904 (South Carolina) | Primary |
| Entity Name | Roper Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104983055 PECOS PAC ID: 8426958919 Enrollment ID: O20040114000413 |
| Entity Name | Bon Secours St Francis Xavier Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770867442 PECOS PAC ID: 8325008717 Enrollment ID: O20041011000439 |
| Entity Name | Pain Specialists of Charleston |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760636856 PECOS PAC ID: 6002971165 Enrollment ID: O20090224000652 |
| Entity Name | Roper St. Francis Mount Pleasant Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629499298 PECOS PAC ID: 1658567326 Enrollment ID: O20110207000316 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Brittany Whiteside Tucker, PA Po Box 601495, Charlotte, NC 28260-1495 Ph: (843) 789-1620 | Ms Brittany Whiteside Tucker, PA 316 Calhoun St, Charleston, SC 29401-1113 Ph: (843) 724-2010 |
Christian Anton Sung, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 316 Calhoun St, Charleston, SC 29401 Phone: 843-720-8490 |
Amy Lynn Canino, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 316 Calhoun St, Charleston, SC 29401 Phone: 843-402-1638 Fax: 843-724-2455 |
Elizabeth Poindexter, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 |
Maria Dahl, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2225 Ashley River Rd Apt 378, Charleston, SC 29414 Phone: 704-661-4464 |
Matthew K Ewald, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 |
Meredith Barb Bauerband, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2180 Henry Tecklenburg Dr, Charleston, SC 29414 Phone: 865-647-5800 Fax: 865-647-5979 |
Jessica Marie Richgels, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1327 Ashley River Rd Ste B, Charleston, SC 29407 Phone: 843-577-4551 |