DR. CHARLES L TUCKER M.D. NPI 1639173396

Family Medicine in Cherokee Village, AR

NPI 1639173396 Individual Male Years of Experience 57 Family Medicine PECOS Enrolled Accepts Medicare Approved Payment

About CHARLES TUCKER

Charles Tucker is a primary care provider established in Cherokee Village, Arkansas and his medical specialization is family medicine with more than 57 years of experience. He graduated from University Of Arkansas College Of Medicine in 1965. The NPI number of Charles Tucker is 1639173396 and was assigned on June 2005. The practitioner's primary taxonomy code is 207Q00000X with license number C3379 (AR). The provider is registered as an individual and his NPI record was last updated 8 years ago.

A primary care provider (PCP) like Dr. Charles L Tucker M.d. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Charles Tucker is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Charles Tucker is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

NPI

1639173396

Provider NameDR. CHARLES L TUCKER M.D.
Provider Location Address195 HOSPITAL DR CHEROKEE VILLAGE, AR 72529
Provider Mailing Address195 HOSPITAL DR CHEROKEE VILLAGE, AR 72529
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduation Year1965
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date06-10-2005
Last Update Date07-27-2013


Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.C3379
License StateAR
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Business Address

DR. CHARLES L TUCKER M.D.
195 HOSPITAL DR
CHEROKEE VILLAGE, AR
ZIP 72529
Phone: (870) 257-6060
Fax: (870) 257-7667

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Mailing Address

DR. CHARLES L TUCKER M.D.
195 HOSPITAL DR
CHEROKEE VILLAGE, AR
ZIP 72529
Phone: (870) 257-6061
Fax: (870) 257-7667



Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
D04966MEDICARE UPIN (02)AR
105959001MEDICAID (05)AR

Other Providers at the same location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1568432144WHITE RIVER HEALTH SYSTEM, INC.
Organization
Clinic/Center (Rural Health)195 HOSPITAL DR
CHEROKEE VILLAGE, AR 72529
(870) 257-6060
1245456789WHITE RIVER HEALTH SYSTEM, INC.
Organization
Clinic/Center (Radiology, Mammography)195 HOSPITAL DR
CHEROKEE VILLAGE, AR 72529
(870) 257-6060
1336431659WHITE RIVER HEALTH SYSTEM INC.
Organization
Clinic/Center (Radiology)195 HOSPITAL DR SUITE C
CHEROKEE VILLAGE, AR 72529
(870) 257-6040
1144615287 JENNIFER JOHNSON CNP
Individual
Nurse Practitioner (Family)195 HOSPITAL DR SUITE B
CHEROKEE VILLAGE, AR 72529
(870) 257-6060

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.