| Tasha Rucker, FNP | |
|
2372 Us49-e, Sumner, MS 38957 | |
| (662) 375-9310 | |
| Not Available |
| Full Name | Tasha Rucker |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 2372 Us49-e, Sumner, Mississippi |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073113304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 904227 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sta Home Health And Hospice | Greenwood, MS | Home health agency |
| Northwest Mississippi Medical Center | Clarksdale, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northwest Miss Regional Medical Center | 3173969177 | 13 |
| Entity Name | Delta Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609464619 PECOS PAC ID: 5597171645 Enrollment ID: O20210315002779 |
| Entity Name | Northwest Miss Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598458515 PECOS PAC ID: 3173969177 Enrollment ID: O20240610002576 |
| Mailing Address | Practice Location Address |
|---|---|
| Tasha Rucker, FNP 744 Catalpa St, Clarksdale, MS 38614-3118 Ph: () - | Tasha Rucker, FNP 2372 Us49-e, Sumner, MS 38957 Ph: (662) 375-9310 |
Mr. Robert L Tucker, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2372 Hwy 49 East, Sumner, MS 38957 Phone: 662-375-9310 | |
Sonja Pennington, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2372 Us-49e Unit 240, Sumner, MS 38957 Phone: 662-375-9310 Fax: 662-375-9311 | |
Mrs. Barbara Dew Criswell, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 N Court St, Sumner, MS 38957 Phone: 662-375-9989 Fax: 662-375-8762 |