| Dr Randy Scott Buckles, DO | |
|
220 South Woodbine Rd, Saint Joseph, MO 64506 | |
| (816) 676-1300 | |
| (816) 676-1400 |
| Full Name | Dr Randy Scott Buckles |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 30 Years |
| Location | 220 South Woodbine Rd, Saint Joseph, Missouri |
| 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 |
|---|---|---|---|
| 1447268560 | NPI | - | NPPES |
| 24918021 | Other | MO | BCKC PROVIDER ID |
| 431812629 | Other | MO | WPS TRICARE FOR LIFE |
| 249770702 | Medicaid | MO | |
| 27020012 | Other | MO | BCKC GROUP ID # |
| 505804906 | Medicaid | MO | |
| 2326850 | Other | MO | AETNA PROVIDER ID |
| 385996 | Other | MO | HEALTHLINK PROVIDER # |
| 080128455 | Other | MO | RAILROAD RETIR BRD PRO # |
| 10001359400 | Other | MO | COMUUNITY HEALTH PLAN # |
| 100001359400 | Other | MO | CHP PROVIDER # |
| 45828 | Other | MO | HEALTHLINK GRP # |
| 080128455 | Other | MO | RAILROAD RETIR. BRD GRP # |
| 385996 | Other | MO | FREEDOM/HEALTHLINK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 108739 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Freudenthal Home Health | Saint joseph, MO | Home health agency |
| Mosaic Life Care Home Health | Saint joseph, MO | Home health agency |
| Mosaic Life Care At St Joseph | Saint joseph, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Randy S. Buckles, Do, Family Health Care, Llc | 7618916446 | 3 |
| Entity Name | Randy S. Buckles, Do, Family Health Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396753422 PECOS PAC ID: 7618916446 Enrollment ID: O20050429000857 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Randy Scott Buckles, DO 220 South Woodbine Rd, Saint Joseph, MO 64506 Ph: (816) 676-1300 | Dr Randy Scott Buckles, DO 220 South Woodbine Rd, Saint Joseph, MO 64506 Ph: (816) 676-1300 |
Dr. Juan C Dominguez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5210 North Belt Hwy, Saint Joseph, MO 64506 Phone: 816-271-4995 Fax: 816-271-4915 | |
Steven L Puderbaugh, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1314 N 36th St, Saint Joseph, MO 64506 Phone: 800-952-8387 Fax: 913-758-8387 | |
Dr. Sameer Gupta, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4906 Frederick Ave, Saint Joseph, MO 64506 Phone: 816-396-0245 Fax: 816-817-5746 | |
Dr. Thomas W Alderson, M.D Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 711 N 36th St, Saint Joseph, MO 64506 Phone: 816-271-4022 Fax: 816-271-4020 | |
John Lee Cook, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 Heartland Rd Ste 3800, Saint Joseph, MO 64506 Phone: 816-671-4800 Fax: 816-279-0421 | |
Dr. Lisa Renee Nordberg, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 3949 Sherman Ave, Saint Joseph, MO 64506 Phone: 816-279-4882 | |
Jana Marie Hill, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1115 N Belt Hwy, Saint Joseph, MO 64506 Phone: 816-271-7077 Fax: 816-271-4998 |