Russell Buford, LP is a
Psychologist based in Fort Defiance, Arizona. Russell Buford is licensed to practice in North Carolina (license number 5098) and his current practice location is
Corner Of Route N12 And N7, Fort Defiance, Arizona. He can be reached at his office (for appointments etc.) via phone at
(928) 729-8000.
NPI number for Russell Buford is 1144687682 and his current mailing address is Po Box 649, Fort Defiance, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1144687682.
Healthcare Provider's Profile
| Full Name | Russell Buford |
|---|
| Gender | Male |
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| Speciality | Psychologist |
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| Location | Corner Of Route N12 And N7, Fort Defiance, Arizona |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1144687682
- Provider Enumeration Date: 01/27/2016
- Last Update Date: 11/01/2019
Medical Identifiers
Medical identifiers for Russell Buford such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144687682 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 22220 (North Carolina) | Secondary |
| 103T00000X | Psychologist | 5098 (North Carolina) | 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. Russell Buford 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 |
|---|
Russell Buford, LP
Po Box 649,
Fort Defiance, AZ 86504-0649
Ph: () - | Russell Buford, LP
Corner Of Route N12 And N7,
Fort Defiance, AZ 86504
Ph: (928) 729-8000 |
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