Lakeeya K Tucker, DO
Individual provider Active NPI Obstetrics & Gynecology Physician · East Lansing, MI
NPI 1902873151 · NPPES record last updated Oct 18, 2019
Key facts
- NPI
- 1902873151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- LT014020 (MI)
- Practice address
- 1560 Turf Lane
East Lansing, MI 48823-6392 - Phone
- (517) 484-3000
- Fax
- (517) 484-6358
- NPI assigned
- Mar 7, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Owned or controlled facilities with NPI records 17
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Uwh of Michigan PLC
Practice addresses (Care Compare)
1560 Turf LN
East Lansing, MI 48823-6392
Phone (517) 484-3000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 14
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040305001029 | MI | Practitioner - Obstetrics/Gynecology | 9739077363 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LT014020 | MI | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uwh of Michigan PLC | Obstetrics & Gynecology | Current |
Accepting new patients |
| Edward W Sparrow Hospital Association | Current |
Accepting new patients | |
| Edward W. Sparrow Hospital Association | Obstetrics & Gynecology | Current |
Accepting new patients |
| Edward W. Sparrow Hospital Association | Current | Accepting new patients |
Locations
8175 Reliable Pkwy
Chicago, IL 60686
1560 Turf Ln
East Lansing, MI 48823
Phone (517) 484-3000
1200 E Michigan Ave
Ste 345
Lansing, MI 48912
Phone (517) 364-5610
1322 E Michigan Ave
Ste 220
Lansing, MI 48912
Phone (517) 364-2570
1100 S Cedar St
Mason, MI 48854
Phone (517) 484-3000
46325 W Twelve Mile Rd
Ste 250
Novi, MI 48377
Phone (248) 465-1200
Interoperability endpoints
- lakeeyatucker@aog.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | LT014020 | MI | Yes |
Addresses
Primary practice location
1560 Turf Lane
East Lansing, MI 48823-6392
Mailing address
1560 Turf Lane
East Lansing, MI 48823-6392
Phone (517) 484-3000
Other practice location 1
1100 S Cedar St
Mason, MI 48854-2086
Phone (517) 484-3000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4387080 | Medicaid | MI | |
| 5330320 | Other | MI | BCBS/BCN PROVIDER # |
| 0700261 | Other | MI | PHP PROVIDER # |
| 0770041 | Other | MI | PHP FAMILY CARE PROVIDER |
| 1006153 | Other | MI | MCLAREN PROVIDER # |
| P00150117 | Other | MI | RR MEDICARE PROVIDER # |
Other names
- Lakeeya K Dotson Tucker
Other providers in East Lansing, MI
- Heather M Trudeau
- Trunorth Integrated Therapy, PLLC
- Brian James Tsacoumangos
- Wan Chong Tsai
- Martin J Tuck
- Nancy Tucker
- Mohammad Tuleimat
- Joshua Turchan
- Jane L Turner
- Jayla Turner
All providers in East Lansing, MI · Obstetrics & Gynecology Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.