Thomas Buckner, - Counselor in Gary, IN

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Thomas Buckner, is a Community Based Residential Treatment Facility, Mental Illness based in Gary, Indiana. Thomas Buckner is licensed to practice in * (Not Available) (license number ) and his current practice location is 1100 W 6th Ave, Gary, Indiana. He can be reached at his office (for appointments etc.) via phone at (219) 885-4264.

NPI number for Thomas Buckner is 1184094013 and his current mailing address is 1100 W 6th Ave, Gary, Indiana. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1184094013.

Contact Information

Thomas Buckner,
1100 W 6th Ave,
Gary, IN 46402-1711
(219) 885-4264
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameThomas Buckner
GenderMale
SpecialityCommunity Based Residential Treatment Facility, Mental Illness
Location1100 W 6th Ave, Gary, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1184094013
  • Provider Enumeration Date: 10/05/2015
  • Last Update Date: 10/05/2015

Medical Identifiers

Medical identifiers for Thomas Buckner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184094013NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
320800000XCommunity Based Residential Treatment Facility, Mental Illness (* (Not Available))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. Thomas Buckner 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 AddressPractice Location Address
Thomas Buckner,
1100 W 6th Ave,
Gary, IN 46402-1711

Ph: (219) 885-4264		Thomas Buckner,
1100 W 6th Ave,
Gary, IN 46402-1711

Ph: (219) 885-4264

Reviews and Comments


Community Based Residential Treatment Facility, Mental Illness in Gary, IN


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