Elizabeth Marie Bucolo, MA is a
Psychologist - Clinical based in Little Rock, Arkansas. Elizabeth Marie Bucolo is licensed to practice in Arkansas (license number 14-15 LP) and her current practice location is
1100 N University Ave, Suite 200, Little Rock, Arkansas. She can be reached at her office (for appointments etc.) via phone at
(501) 686-9300.
NPI number for Elizabeth Marie Bucolo is 1275861114 and her current mailing address is 1100 N University Ave, Suite 200, Little Rock, Arkansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275861114.
Healthcare Provider's Profile
| Full Name | Elizabeth Marie Bucolo |
|---|
| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 1100 N University Ave, Little Rock, Arkansas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1275861114
- Provider Enumeration Date: 12/04/2009
- Last Update Date: 01/20/2015
Medical Identifiers
Medical identifiers for Elizabeth Marie Bucolo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275861114 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 14-15 LP (Arkansas) | Primary |
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. Elizabeth Marie Bucolo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Elizabeth Marie Bucolo, MA
1100 N University Ave, Suite 200,
Little Rock, AR 72207-6343
Ph: (501) 686-9300 | Elizabeth Marie Bucolo, MA
1100 N University Ave, Suite 200,
Little Rock, AR 72207-6343
Ph: (501) 686-9300 |
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