Margie Nicole Lloyd Tucker

MD | Pediatric Cardiology | Female

---

Complete Profile:

Margie Nicole Lloyd Tucker basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics, Pediatric Cardiology
Provider Name :	Margie Nicole Lloyd Tucker
Credential :	MD
Gender :	Female

Business Address:

Margie Nicole Lloyd Tucker address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	300 N Graham St Ste 250 Portland, OR, 97227-1666 United States
Phone Number :	503-280-3418
Fax Number :	503-284-7885

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.

NPI Number :	1477725794
NPI Entity Type :	Individual
First Enrolment Date :	26 Mar, 2008
Last Updated On :	28 Oct, 2022

Medicare Participation:

Margie Nicole Lloyd Tucker participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	2769608397
Medicare Enrollment ID :	I20200403002337
Primary Specialty :	Pediatric Medicine
Medical School :	University Of Louisville School Of Medicine
Graduation Year :	2008
Accepts Medicare?	Yes. Margie Nicole Lloyd Tucker accepts medicare insurance.

Group Practice Association:

Margie Nicole Lloyd Tucker is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Margie Nicole Lloyd Tucker is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Pediatric Cardiology Center Of Oregon Pc	7911978804	4	300 N Graham St Suite 250 Portland, OR - 972271666 Ph: 5032803418	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Margie Nicole Lloyd Tucker are as mentioned. Primary taxonomy code for Margie Nicole Lloyd Tucker, MD is 2080P0202X (Pediatrics, Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0202X	Pediatrics, Pediatric Cardiology	No	MD61008681	WA
2080P0202X	Pediatrics, Pediatric Cardiology	Yes	MD196281	OR

Legacy Identifiers:

Other legacy medical identifiers of Margie Nicole Lloyd Tucker such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
2155531	MEDICAID	WA
5007776428	MEDICAID	OR

Other Practice Locations:

Practice Address	City, State	Phone Number
3600 NW SAMARITAN DR, CORVALLIS, OR, 97330-5472 United States	CORVALLIS, OR	541-768-5111

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	300 N Graham St Ste 250 Portland, OR, 97227-1666 United States
Phone Number :	503-280-3418
Fax Number :	503-284-7885

Business Location:

Patients can refer following map for directions to Margie Nicole Lloyd Tucker practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.