FREDERICK S. TACKEY MD – NPI #1689743445
Internal Medicine

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

FREDERICK TACKEY is a physician located in BOYNTON BEACH, FL. NPPES has assigned the NPI number 1689743445 to FREDERICK TACKEY on November 07, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RP1001X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Pulmonary Disease

The NPI profile was previously updated about 16 years ago on Sep 01, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FREDERICK TACKEY below.

NPI Profile for
FREDERICK S. TACKEY

NPI Number
1689743445
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
FREDERICK S. TACKEY
Credentials
MD
Primary location
2300 SOUTH CONGRESS AVENUE #101
BOYNTON BEACH, FL 33426
Phone: (561) 374-8919 Fax: (561) 374-8911
Mailing address
PO BOX 550
BOYNTON BEACH, FL 33425-0550
Phone: (561) 374-8919 Fax: (561) 374-8911
Sole Proprietor
No
Updated
Identifiers

Identifiers for FREDERICK TACKEY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDFL377890800
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RP1001X
- Internal Medicine / Pulmonary Disease (Primary)
FL 0068055
207RC0200X
- Internal Medicine / Critical Care Medicine
FL 0068055
207R00000X
- Internal Medicine
FL 0068055

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
FREDERICK TACKEY is affiliated with the following medical group(s):
  • HOSPITAL
    • BETHESDA HOSPITAL INC
      2815 S SEACREST BLVD
      BOYNTON BEACH, FL 33435
    • DELRAY MEDICAL CENTER
      5352 LINTON BLVD
      DELRAY BEACH, FL 33484
  • HOME HEALTH AGENCY
    • ACTIVA HOME HEALTH
      1501 CORPORATE DR STE 230
      BOYNTON BEACH, FL 33426
    • ENHABIT HOME HEALTH OF BETHESDA
      3800 S CONGRESS AVE STE 4
      BOYNTON BEACH, FL 33426

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