| Dr Kevin Buckman, MD | |
|
975 S Fairmont Ave, Lodi, CA 95240-5118 | |
| (209) 339-7575 | |
| Not Available |
| Full Name | Dr Kevin Buckman |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 975 S Fairmont Ave, Lodi, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568484855 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | A33983 (California) | Primary |
| 2083X0100X | Preventive Medicine - Occupational Medicine | A33983 (California) | Secondary |
| Entity Name | San Francisco Physicians International Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841220720 PECOS PAC ID: 5597679225 Enrollment ID: O20031117000934 |
| Entity Name | Team Physicians Of California Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447288345 PECOS PAC ID: 8224945084 Enrollment ID: O20040920000880 |
| Entity Name | Clinic Services Of California Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578958450 PECOS PAC ID: 7810209715 Enrollment ID: O20150707001394 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kevin Buckman, MD 5937 Cumberland Pl, Stockton, CA 95219-3818 Ph: (209) 610-5000 | Dr Kevin Buckman, MD 975 S Fairmont Ave, Lodi, CA 95240-5118 Ph: (209) 339-7575 |
Dr. Kevin Earl Rabey, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 975 S Fairmont Ave, Lodi, CA 95240 Phone: 209-334-3411 | |
Dr. Dilbag Singh, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 975 S Fairmont Ave, Lodi, CA 95240 Phone: 209-339-7575 | |
John Walter, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 975 S Fairmont Ave, Lodi, CA 95240 Phone: 209-334-3411 | |
Jordan Baker, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 975 S Fairmont Ave, Lodi, CA 95240 Phone: 209-334-3411 | |
Christine T. Mcdavit, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 975 S Fairmont Ave, Lodi, CA 95240 Phone: 209-339-7576 | |
Edmund A Freund, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1901 W Kettleman Ln, Suite 200, Lodi, CA 95242 Phone: 209-334-8540 Fax: 209-368-2885 |