Mr. Thomas Edwin Puckett Jr.
N.P. | Nurse Practitioner | 11+ years Exp
3834 S Emerson Ave, Bldg C Ste 100, Indianapolis
Indiana, 46203
317-782-1577
Mr. Thomas Edwin Puckett Jr. is a Indianapolis, Indiana based nurse practitioner with 11 years of experience as Nurse Practitioner. He completed his graduation in 2015. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Thomas Edwin Puckett Jr. is 71005644A for Nurse Practitioner in Indiana. His current practice location is 3834 S Emerson Ave, Bldg C Ste 100, Indianapolis. Patients can reach him at 317-782-1577 or can fax him at 888-366-7577. Mr. Thomas Edwin Puckett Jr. is N.P. with specialization in Nurse Practitioner and his NPI number (Unique professional ID assigned by NPPES) is 1346626876.
Mr. Thomas Edwin Puckett Jr. 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:
Mr. Thomas Edwin Puckett Jr. speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mr. Thomas Edwin Puckett Jr. |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Male |
| Credentials: | N.P. |
| Experience: | 11+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2015 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 3834 S Emerson Ave, Bldg C Ste 100, Indianapolis,
Indiana, 46203 |
| Phone: | 317-782-1577 |
| Fax: | 888-366-7577 |
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: | 0143535252 |
| Enrollment ID: | I20150819007161 |
| NPI Number: | 1346626876 |
| NPI Enumeration Date: | 06 Aug, 2015 |
| NPI Last Update On: | 02 Aug, 2018 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Thomas Edwin Puckett Jr. are as mentioned below.
| License Number | Specialization | State | Status | |
| 71005644A | Nurse Practitioner | Indiana | Primary | |
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 |
| (150037) | Greenfield, IN | Acute 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 Mr. Thomas Edwin Puckett Jr. is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Advanced Healthcare Associates, Llp (0244219848) | 22 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Thomas Edwin Puckett Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 201312180 | Medicaid | Indiana | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mr. Thomas Edwin Puckett Jr.
Po Box 3299,
Carson City, Nevada |
| Zip: | 89702-3299 |
| Phone Number: | 775-222-0044 |
| Fax Number: | 888-700-0187 |
Patients can reach Mr. Thomas Edwin Puckett Jr. at
3834 S Emerson Ave, Bldg C Ste 100, Indianapolis, Indiana or can
call to book an appointment on 317-782-1577.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.