Teresa G Tucker (NPI# 1861590440, PAC ID# 4486653219) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1861590440 |
| PAC ID by PECOS | 4486653219 |
| Professional Enrollment ID | I20061205000435 |
| Full Name | Teresa G Tucker |
| Organization Legal Name | CHOCTAW NATION OF OKLAHOMA |
| Address |
1300 E Martin Luther King Dr Broken Bow OK 74728-4160 |
| Phone Number | 9185677000 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2006 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1759294838 |
| Number of Group Practice Members | 174 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370172 | CHOCTAW NATION HEALTH SERVICES AUTHORITY |
| Address | Phone | Organization |
|---|---|---|
| 1300 E Martin Luther King Dr, Broken Bow, OK 74728-4160 | 9185677000 | CHOCTAW NATION OF OKLAHOMA |
| Organization Legal Name | CHOCTAW NATION OF OKLAHOMA |
| Physicians | 161 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Casey Woolsey | Nurse Practitioner | Choctaw Nation of Oklahoma | 902 Lincoln Rd, Choctaw National Health Care Idabel, Idabel, OK 74745-7817 |
| Darci Bowen | Nurse Practitioner | Choctaw Nation of Oklahoma | 1801 Chukkahina, Durant, OK 74701-7117 |
| Jennifer Michelle Parker | Nurse Practitioner | Choctaw Nation of Oklahoma | 2204 E Main Str, Choctaw Nation Health Care Stigler, Stigler, OK 74462-2822 |
| Jaclyn D Rouse | Optometry | Choctaw Nation of Oklahoma | 410 N M St, Choctaw Nation Health Care Hugo, Hugo, OK 74743-1820 |
| Jessica L Hall | Physician Assistant | Choctaw Nation of Oklahoma | 205 Dallas St, Talihina, OK 74571-2402 |
| Jonathan A Doyle | Psychiatry | Choctaw Nation of Oklahoma | 1127 S George Nigh Expy, Choctaw Nation Health Care Mcalester, Mcalester, OK 74501-7143 |
| Michael S. Krischer | Podiatry | Choctaw Nation of Oklahoma | 1201 W Liberty Rd, Choctaw Nation Health Care Atoka, Atoka, OK 74525-1639 |
| Charles T Whittenburg | Orthopedic Surgery | Choctaw Nation of Oklahoma | 698 Westside Dr, 106 Choctaw Nation Health Aging, Durant, OK 74701-3085 |
| Shiela D Riley | Nurse Practitioner | Choctaw Nation of Oklahoma | 1 Choctaw Way, Talihina, OK 74571-2022 |
| Frank J Smith | Physician Assistant | Choctaw Nation of Oklahoma | 109 Kerr Blvd, Poteau, OK 74953-5231 |
| Street Address |
1300 E MARTIN LUTHER KING DR |
| City | BROKEN BOW |
| State | OK |
| Zip | 74728-4160 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason R Mchenry | Physician Assistant | Mccurtain Family Medical Clinic | 800 N Park Dr, Broken Bow, OK 74728-2146 |
| Kimberly R Reece | Nurse Practitioner | Mccurtain Family Medical Clinic | 800 N Park Dr, Broken Bow, OK 74728-2146 |
| Megan E Black | Nurse Practitioner | 110 W 1st St, Broken Bow, OK 74728-3902 | |
| Tonya J Boles | Physician Assistant | Kiamichi Family Medical Center Inc. | 6026 Battiest Pickens Rd, Broken Bow, OK 74728-5033 |
| Gordon R Butzirus | Physician Assistant | Kiamichi Family Medical Center Inc. | 6026 Battiest Pickens Rd, Broken Bow, OK 74728-5033 |
| Kelli June Lemke | Nurse Practitioner | Kiamichi Family Medical Center Inc. | 6026 Battiest Pickens Rd, Broken Bow, OK 74728-5033 |
| Tammy M Williams | Physician Assistant | Kiamichi Family Medical Center Inc. | 6026 Battiest Pickens Rd, Broken Bow, OK 74728-5033 |
| Tabatha Leforce | Nurse Practitioner | Kiamichi Family Medical Center Inc. | 6026 Battiest Pickens Rd, Broken Bow, OK 74728-5033 |
| Jon T Maxwell | Family Medicine | Kiamichi Family Medical Center Inc. | 6026 Battiest Pickens Rd, Broken Bow, OK 74728-5033 |
| Ramona Lynn Goolsby | Nurse Practitioner | Kiamichi Family Medical Center Inc. | 6026 Battiest Pickens Rd, Broken Bow, OK 74728-5033 |
| Find all physicians in zip 74728 | |||
| City | BROKEN BOW |
| Zip Code | 74728 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BROKEN BOW + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Teresa G Tucker.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.