Kelly D Pucek is a Jackson, Tennessee based male orthopedic surgeon with 32 years of experience in Orthopedic Surgery. He completed his graduation from University Of Arkansas College Of Medicine in 1992. He is also affiliated with hospitals like Jackson-madison County General Hospital. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kelly D Pucek is MD30606 for Orthopedic Surgery in Tennessee.
Kelly D Pucek is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means including the patients with musculoskeletal problems which include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. Patients with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system are also concerned.
Complete Profile:
Kelly D Pucek speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Orthopedic - Orthopedic Surgery
Credentials:
MD
Experience:
32+ years
Medical School Attended:
University Of Arkansas College Of Medicine
Graduation Year:
1992
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
24 Physicians Dr, Jackson, Tennessee, 38305-2070
Phone:
731-661-9825
Fax:
731-668-6757
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.
PAC ID:
9032321278
Enrollment ID:
I20120611000390
NPI Number:
1710086335
NPI Enumeration Date:
21 Sep, 2006
NPI Last Update On:
02 Nov, 2015
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kelly D Pucek are as mentioned below.
License Number
Specialization
State
Status
MD30606
Orthopedic Surgery
Tennessee
Primary
MD30606
Sports Medicine
Tennessee
Secondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Jackson-madison County General Hospital (440002)
Jackson, TN
Acute Care Hospital
Group Practice:
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 Kelly D Pucek is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Stn Care Of Tn Ii, Llc (1759719669)
12
West Tennessee Bone And Joint Clinic Pc (7517940182)
54
Other Medical Identifiers:
Other legacy medical identifiers associated with Kelly D Pucek such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
Q010037
Medicaid
Tennessee
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
24 Physicians Dr, Jackson, Tennessee
Zip:
38305-2070
Phone Number:
731-661-9825
Fax Number:
731-668-6757
Patients can reach Kelly D Pucek at 24 Physicians Dr, Jackson, Tennessee or can call to book an appointment on 731-661-9825. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.