Overview
No Referral Sources
No Referral Destinations
Practice Locations 1 Same Address Same Phone
No Medical Groups
No Affl. Hospitals
profile image
Primary Practice Address
593 EDDY ST
PROVIDENCE, RI 02903-4923 US
PECOS Enrolled

Sydney Elizabeth Tucker

Student


Sydney Elizabeth Tucker

Overview

Sydney Elizabeth Tucker is a Student in the PROVIDENCE area. Sydney Elizabeth Tucker primary office location is at 593 EDDY ST and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1164152930 and the information was updated approximately 2 years ago.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Unknown

Is sole proprietor: NO

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
593 EDDY ST
PROVIDENCE, RI 02903-4923 US
Phone: (401)-444-8805
Fax:
Practice Mailing Information
593 EDDY ST
PROVIDENCE, RI 02903-4923 US
Phone:
Fax:
License NumberState
LP05693RI

No Identifiers found

TaxonomyStatePrimary?
Student - Taxonomy Code 390200000X RIY

PECOS Details:

Participates in PECOS: YES
PECOS Individual Enrollment ID:
PECOS Individual PAC ID:
Eligible to order/refer Part B Clinical Laboratory and Imaging Yes
Eligible to order/refer Durable Medical Equipment (DME) Yes
Eligible to order/refer Home Health Agency (HHA) Yes
Eligible to order/refer Power Mobility Devices (PMD) Yes