| Ernestina S Buck, PHD | |
|
33 Subway St, Bisbee, AZ 85603 | |
| (520) 227-3695 | |
| (855) 568-6439 |
| Full Name | Ernestina S Buck |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 33 Subway St, Bisbee, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245544162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC-1608 (Arizona) | Primary |
| Entity Name | Brightside Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801355482 PECOS PAC ID: 6608262464 Enrollment ID: O20230403000549 |
| Mailing Address | Practice Location Address |
|---|---|
| Ernestina S Buck, PHD Po Box 4171, Bisbee, AZ 85603-4171 Ph: (520) 227-3695 | Ernestina S Buck, PHD 33 Subway St, Bisbee, AZ 85603 Ph: (520) 227-3695 |
Brad Thayer, LPC, NCC, CCTP Counselor Medicare: Not Enrolled in Medicare Practice Location: 7 Bisbee Rd, Bisbee, AZ 85603 Phone: 520-432-2042 | |
Ms. Carole Parent, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6 Moon Canyon, Bisbee, AZ 85603 Phone: 520-432-7150 | |
Mrs. Jill Marie Killeen, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1326 W Highway 92 Ste J, Bisbee, AZ 85603 Phone: 520-432-7751 Fax: 520-432-3695 | |
Cheryl Dehaven, MA, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 24 Howell Ave, Suite 11, Bisbee, AZ 85603 Phone: 520-678-5851 | |
Mr. Robert W. Luigs, LISAC-10352 Counselor Medicare: Not Enrolled in Medicare Practice Location: 229a Tombstone Canyon, Bisbee, AZ 85603 Phone: 928-925-1557 | |
Faye Chapman Hoese, LPC Counselor Medicare: Medicare Enrolled Practice Location: 24 Howell Ave., Box 544, Bisbee, AZ 85603 Phone: 520-249-8061 Fax: 520-432-3585 |