| Brenda Lynn Buckley, MD | |
|
1747 Smizer Station Rd, Suite 5, Fenton, MO 63026-2784 | |
| (636) 529-7000 | |
| (636) 529-7003 |
| Full Name | Brenda Lynn Buckley |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 27 Years |
| Location | 1747 Smizer Station Rd, Fenton, Missouri |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134104466 | NPI | - | NPPES |
| 1134104466 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 115447 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital South | Saint louis, MO | Hospital |
| Mercy Hospital St Louis | Saint louis, MO | Hospital |
| Ssm St Clare Health Center | Fenton, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| American Multispecialty Group Inc | 1658365572 | 128 |
| Entity Name | American Multispecialty Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972559532 PECOS PAC ID: 1658365572 Enrollment ID: O20040413001412 |
| Entity Name | Premier Medical Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417459207 PECOS PAC ID: 6507129699 Enrollment ID: O20180425000511 |
| Mailing Address | Practice Location Address |
|---|---|
| Brenda Lynn Buckley, MD 1747 Smizer Station Rd,, Suite 5, Fenton, MO 63026-2124 Ph: (636) 529-7000 | Brenda Lynn Buckley, MD 1747 Smizer Station Rd, Suite 5, Fenton, MO 63026-2784 Ph: (636) 529-7000 |
Susan J. Gray, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1345 Smizer Mill Rd Ste 1100, Fenton, MO 63026 Phone: 636-496-5023 | |
Sarah Ludlow, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1345 Smizer Mill Rd Ste 1100, Fenton, MO 63026 Phone: 636-496-5022 | |
Dr. John Martin Crowe Jr., M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1670 Fenpark Dr, Fenton, MO 63026 Phone: 636-492-6376 Fax: 636-326-6557 | |
Dr. Melissa Ann Muench, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 714 Gravois Rd Ste 210, Fenton, MO 63026 Phone: 636-660-9850 Fax: 636-660-9851 | |
Dr. Justin E. Hugo, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 714 Gravois Rd, Suite 210, Fenton, MO 63026 Phone: 314-543-5230 Fax: 314-543-5280 | |
Mr. Christopher Paul Friesen, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 320 Gravois Rd, Suite B, Fenton, MO 63026 Phone: 636-305-1899 Fax: 636-305-1898 |