| Dr Golden Thaddeus Buckland Iii, MD | |
|
1814 Lincoln Way, Coeur D Alene, ID 83814-2540 | |
| (208) 667-2531 | |
| (208) 765-9385 |
| Full Name | Dr Golden Thaddeus Buckland Iii |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 23 Years |
| Location | 1814 Lincoln Way, Coeur D Alene, Idaho |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942402904 | NPI | - | NPPES |
| 000010162794 | Other | BLUE SHIELD | |
| 1518003516 | Other | NORTH IDAHO CATARACT & LA | |
| 807806900 | Medicaid | ID | |
| 1100054 | Other | MEDICARE | |
| 76960 | Other | BLUE CROSS OF IDAHO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | M9945 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kootenai Health | Coeur d'alene, ID | Hospital |
| Northwest Specialty Hospital | Post falls, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Idaho Eye Institute P A | 8820182736 | 10 |
| Entity Name | Kootenai Health, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235288655 PECOS PAC ID: 4789641598 Enrollment ID: O20041214000230 |
| Entity Name | North Idaho Eye Institute P A |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699811646 PECOS PAC ID: 8820182736 Enrollment ID: O20070924000239 |
| Entity Name | Kootenai Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174661151 PECOS PAC ID: 1355792276 Enrollment ID: O20240111003252 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Golden Thaddeus Buckland Iii, MD 1814 Lincoln Way, Coeur D Alene, ID 83814-2540 Ph: (208) 667-2531 | Dr Golden Thaddeus Buckland Iii, MD 1814 Lincoln Way, Coeur D Alene, ID 83814-2540 Ph: (208) 667-2531 |
David Gerald Dance, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1814 Lincoln Way, Coeur D Alene, ID 83814 Phone: 208-667-2531 | |
Dr. David Anton Wold, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1814 Lincoln Way, Coeur D Alene, ID 83814 Phone: 208-667-2531 Fax: 208-765-9385 | |
Sara Duke, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1814 Lincoln Way, Coeur D Alene, ID 83814 Phone: 208-667-2531 Fax: 208-665-5839 | |
Dr. Dale Justin Stormogipson, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1814 Lincoln Way, Coeur D Alene, ID 83814 Phone: 208-667-2531 Fax: 208-765-9385 | |
Dr. Patrick John Parden, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1814 Lincoln Way, Coeur D Alene, ID 83814 Phone: 208-667-2531 Fax: 208-765-9385 | |
Dr. Stephen A Moss, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1814 Lincoln Way, Coeur D Alene, ID 83814 Phone: 208-667-2531 Fax: 208-765-9385 | |
Dr. Roderick Sidney Kent, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1814 Lincoln Way, Coeur D Alene, ID 83814 Phone: 208-667-2531 Fax: 208-765-9385 |