Kelly Tucker (NPI# 1033192166, PAC ID# 2860563137) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1033192166 |
| PAC ID by PECOS | 2860563137 |
| Professional Enrollment ID | I20080612000897 |
| Full Name | Kelly Tucker |
| Organization Legal Name | SCOTT AND WHITE HOSPITAL - LLANO |
| Address |
200 W Ollie St Llano TX 78643-2628 |
| Phone Number | 3252475040 |
| Gender | M |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON |
| Graduation Year | 1985 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 4082803614 |
| Number of Group Practice Members | 73 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 670108 | BAYLOR SCOTT & WHITE MEDICAL CENTER - MARBLE FALLS |
| 450219 | BAYLOR SCOTT & WHITE MEDICAL CENTER - LLANO |
| 450054 | SCOTT & WHITE MEDICAL CENTER - TEMPLE |
| Address | Phone | Organization |
|---|---|---|
| 200 W Ollie St, Llano, TX 78643-2628 | 3252475040 | SCOTT AND WHITE HOSPITAL - LLANO |
| Organization Legal Name | SCOTT AND WHITE HOSPITAL - LLANO |
| Physicians | 34 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Taylor Ann Brooks | Nurse Practitioner | Scott and White Hospital - Llano | 101 E Jackson St, Baylor Scott and White Clinic Burne, Burnet, TX 78611-3101 |
| James P Donohue | Physician Assistant | Scott and White Hospital - Llano | 2112 W Ranch Rd, Suite 1431, Kingsland, TX 78639-6010 |
| John P Frasure | Physician Assistant | Scott and White Hospital - Llano | 101 E Jackson St, Baylor Scott and White Clinic Burne, Burnet, TX 78611-3101 |
| Grady F Miller | Family Medicine | Scott and White Hospital - Llano | 101 E Jackson St, Baylor Scott and White Clinic Burne, Burnet, TX 78611-3101 |
| Kimberly A Russell | Family Medicine | Scott and White Hospital - Llano | 101 E Jackson St, Baylor Scott and White Clinic Burne, Burnet, TX 78611-3101 |
| Laura Leigh Wilson | Nurse Practitioner | Scott and White Hospital - Llano | 101 E Jackson St, Baylor Scott and White Clinic Burne, Burnet, TX 78611-3101 |
| Scott P Liggett | Family Medicine | Scott and White Hospital - Llano | 101 E Jackson St, Baylor Scott and White Clinic Burne, Burnet, TX 78611-3101 |
| Laura Salazar | Internal Medicine | Scott and White Hospital - Llano | 101 E Jackson St, Baylor Scott and White Clinic Burne, Burnet, TX 78611-3101 |
| Clark Wallace Craig | Family Medicine | Scott and White Hospital - Llano | 101 E Jackson St, Baylor Scott and White Clinic Burne, Burnet, TX 78611-3101 |
| Johanna B Schorck | Physician Assistant | Scott and White Hospital - Llano | 101 E Jackson St, Baylor Scott and White Clinic Burne, Burnet, TX 78611-3101 |
| Street Address |
200 W OLLIE ST |
| City | LLANO |
| State | TX |
| Zip | 78643-2628 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark P Dresselhouse | Emergency Medicine | Century Integrated Partners, Inc | 200 W Ollie St, Baylor Scott and White Hospital Llano, Llano, TX 78643-2628 |
| Fatima S Hatia | Emergency Medicine | Century Integrated Partners, Inc | 200 W Ollie St, Baylor Scott and White Hospital Llano, Llano, TX 78643-2628 |
| Humza S Azam | Emergency Medicine | Century Integrated Partners, Inc | 200 W Ollie St, Baylor Scott and White Hospital Llano, Llano, TX 78643-2628 |
| Stephen T Hougen | General Surgery | Scott and White Hospital - Llano | 200 W Ollie St, Llano, TX 78643-2628 |
| Richard A Day | Critical Care (intensivists) | Scott and White Hospital - Llano | 200 W Ollie St, Llano, TX 78643-2628 |
| Sixian C Welch | Internal Medicine | Scott and White Hospital - Llano | 200 W Ollie St, Llano, TX 78643-2628 |
| Michael J Babineaux | Gastroenterology | Scott and White Hospital - Llano | 200 W Ollie St, Llano, TX 78643-2628 |
| Monica Eisele-flint | Internal Medicine | Scott and White Hospital - Llano | 200 W Ollie St, Llano, TX 78643-2628 |
| Jack P Franklin | Family Practice | Scott and White Hospital - Llano | 200 W Ollie St, Llano, TX 78643-2628 |
| Jonathan Ram | Internal Medicine | Scott and White Hospital - Llano | 200 W Ollie St, Llano, TX 78643-2628 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Courtney Brewer Craft | Nurse Practitioner | Scott and White Hospital - Llano | 102 E Young St, Baylor Scott and White Clinic Llano, Llano, TX 78643-1344 |
| Ardra Dea Hughes | Physical Therapy | Cole Physical Therapy Inc | 102 E Young St, Llano, TX 78643-1349 |
| Stacey L Asbill | Physical Therapy | Cole Physical Therapy Inc | 102 E Young St, Llano, TX 78643-1349 |
| Katherine D Keller | Chiropractic | 204 E Main St, Llano, TX 78643-2061 |
| City | LLANO |
| Zip Code | 78643 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | LLANO + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Kelly 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.