Look up the most recent NPI and PECOS records

Tamara J. Tucker-Ham

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

133 W Main St Ste 100, El Cajon, CA 92020-3325

PECOS Enrollment

This provider is enrolled in PECOS as TAMARA TUCKER-HAM.

Based on the most recent information from CMS, provider Tamara J. Tucker-Ham is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1316006794
Provider Type
Individual
Full Name
Tucker-Ham, Tamara J.
Credential
N.P.

Gender
Female
Sole Proprietor
No
Enumeration Date
12/8/2006
Last Updated
3/7/2023

Contact Information

Practice Location

133 W Main St Ste 100, El Cajon, CA 92020-3325

(619) 401-0404

(619) 401-0522

Mailing Location

PO Box 2369, Borrego Springs, CA 92004-2369

(760) 767-5051

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License NFP9100 California

Tamara J. Tucker-Ham

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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