Emma Mae Buckingham, is a medicare enrolled "Counselor - Mental Health" provider in Bloomington, Minnesota. Her current practice location is
1550 American Blvd E Ste 550, Bloomington, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(612) 778-6191.
Emma Mae Buckingham is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1144910621.
Healthcare Provider's Profile
| Full Name | Emma Mae Buckingham |
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| Gender | Female |
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| Speciality | Counselor - Mental Health |
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| Location | 1550 American Blvd E Ste 550, Bloomington, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1144910621
- Provider Enumeration Date: 05/09/2023
- Last Update Date: 10/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 0244699668
- Enrollment ID: I20230703002456
Medical Identifiers
Medical identifiers for Emma Mae Buckingham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1144910621 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Emma Mae Buckingham allows following entities to bill medicare on her behalf.
| Entity Name | Affinity Psychological Services Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245610856 PECOS PAC ID: 0749528552 Enrollment ID: O20190220001363 |
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| Entity Name | Fraser Child And Family Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609922194 PECOS PAC ID: 3971918772 Enrollment ID: O20210208002399 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Emma Mae Buckingham is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Emma Mae Buckingham, 1801 American Blvd E Ste 8, Bloomington, MN 55425-1230 Ph: () - | Emma Mae Buckingham, 1550 American Blvd E Ste 550, Bloomington, MN 55425-3100 Ph: (612) 778-6191 |
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