Online Payment Portal

Tucker Medical Consulting, LLC

Expiration Date *

Email: *

CVN Code card *

Credit Card Number *

Amount Paid *

Billing Zip code *

Patient Date of Birth *

Provider Name - please choose the one that matches the upper left hand corner of your statement *

Patient Name *

Type your paragraph here.

Please fill out the below information. We will email you a receipt once the transaction has been approved. It can take up to 24 business hours.

The cards are not automatically run by this system which is why there is a delay at times.

THERE IS A 4% FEE ADDED TO ALL CREDIT/DEBIT CARD PAYMENTS