Mr. Thomas Edwin Puckett Jr. is a Indianapolis, Indiana based nurse practitioner with 10 years of experience in . 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 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. 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:
10+ 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
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
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:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.