MEDICARE: DR. TRACY L TUCKER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	37949	OK
2	207P00000X	Emergency Medicine Physician	31248	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568491348
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TRACY L TUCKER MD

Provider Business Mailing Address
First Line	:	1201 W 12TH AVE
Second Line	:
City	:	EMPORIA
State	:	KS
Zip	:	66801-2504
Country	:	US
Telephone Number	:	620-343-6800
Fax Number	:	620-341-7821

Provider Business Practice Location Address
First Line	:	1201 W 12TH AVE
Second Line	:
City	:	EMPORIA
State	:	KS
Zip	:	66801-2504
Country	:	US
Telephone Number	:	620-343-6800
Fax Number	:	620-341-7821

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/02/2006
Last Update Date	:	09/29/2025

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Directions to “ DR. TRACY L TUCKER MD” Practice Location

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