| Tiffany Luckey, | |
|
102 Cannery St, Marshfield Clinic Greenwood Center, Greenwood, WI 54437-9705 | |
| (715) 267-6600 | |
| (715) 267-6917 |
| Full Name | Tiffany Luckey |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 10 Years |
| Location | 102 Cannery St, Greenwood, Wisconsin |
| 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 |
|---|---|---|---|
| 1245784453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 3988 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Compassus Home Health | Marshfield, WI | Home health agency |
| Marshfield Medical Center - Neillsville | Neillsville, WI | Hospital |
| Marshfield Medical Center | Marshfield, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Memorial Hospital Inc | 2365433224 | 41 |
| Entity Name | Marshfield Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952347981 PECOS PAC ID: 2264345206 Enrollment ID: O20031106000590 |
| Entity Name | Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346239373 PECOS PAC ID: 2365433224 Enrollment ID: O20040519001426 |
| Entity Name | Mchs Hospitals Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093221434 PECOS PAC ID: 5698071173 Enrollment ID: O20180208000096 |
| Mailing Address | Practice Location Address |
|---|---|
| Tiffany Luckey, 102 Cannery St, Marshfield Clinic Greenwood Center, Greenwood, WI 54437-9705 Ph: (715) 267-6600 | Tiffany Luckey, 102 Cannery St, Marshfield Clinic Greenwood Center, Greenwood, WI 54437-9705 Ph: (715) 267-6600 |
Scott A Brown, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 102 W Cannery St, Greenwood, WI 54437 Phone: 715-267-6600 |