Organization
UNITED SURGEONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLISON TUCKER PHARMD, BCPS (DIRECTOR OF PHARMACY)
(574) 339-8969
Entity
Organization
Contact information
Practice address
4455 EDISON LAKES PKWY, MISHAWAKA, IN 46545-1442
(574) 231-6199
Mailing address
4455 EDISON LAKES PKWY, MISHAWAKA, IN 46545-1442
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
60006215A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
150177
MEDICARE PTAN
IN
05
—
200968790A
—
IN
Enumeration date
06/10/2014
Last updated
06/13/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us