David Thomas Tackett

APRN | Nurse Practitioner | 4+ years Exp

Accepts Medicare Nurse Practitioner in Edgewood, Kentucky.
David Thomas Tackett is a Edgewood, Kentucky based nurse practitioner with 4 years of experience in . He completed his graduation from University Of Cincinnati College Of Medicine in 2020. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of David Thomas Tackett is 1136773 in Kentucky. His current practice location is 20 Medical Village Dr, Edgewood. Patients can reach him at 859-578-5880 or can fax him at 859-578-5881. David Thomas Tackett is APRN and his NPI number (Unique professional ID assigned by NPPES) is 1043821085.
David Thomas Tackett has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.

Complete Profile:
David Thomas Tackett speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: David Thomas Tackett
Specialization: Nurse Practitioner (NP)
Gender:Male
Credentials: APRN
Experience: 4+ years
Medical School Attended:University Of Cincinnati College Of Medicine
Graduation Year:2020
Accepts Medicare Assignment:Yes
Practice Address:20 Medical Village Dr, Edgewood,
Kentucky, 41017-5401
Phone:859-578-5880
Fax:859-578-5881
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 0648699264
Enrollment ID: I20201001001103
NPI Number: 1043821085
NPI Enumeration Date: 13 Aug, 2020
NPI Last Update On: 13 Aug, 2020

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for David Thomas Tackett are as mentioned below.
License NumberSpecializationStateStatus
1136773 KentuckyPrimary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
(180035)Edgewood, KYAcute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which David Thomas Tackett is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Summit Medical Group, Inc (2163326240)616
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: David Thomas Tackett
Po Box 635283,
Cincinnati, Ohio
Zip: 45263-5283
Phone Number: 859-578-5880
Fax Number: 859-578-5881
Patients can reach David Thomas Tackett at 20 Medical Village Dr, Edgewood, Kentucky or can call to book an appointment on 859-578-5880.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.