Dr Raphael A Buckle, MD in Amory, MS

Dr Raphael A Buckle, MD is a medicare enrolled "Pediatrics" physician in Amory, Mississippi. His current practice location is 900 Earl Frye Blvd, Suite A, Amory, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 256-9331.

Dr Raphael A Buckle is licensed to practice in Mississippi (license number 20416) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1700867074.

Contact Information

	Dr Raphael A Buckle, MD
	900 Earl Frye Blvd, Suite A, Amory, MS 38821-5507
	(662) 256-9331
	(662) 256-9335

Map and Direction

Physician's Profile

Full Name	Dr Raphael A Buckle
Gender	Male
Speciality	Pediatrics
Location	900 Earl Frye Blvd, Amory, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700867074
Provider Enumeration Date: 11/14/2005
Last Update Date: 03/02/2010

Medicare PECOS Information:

PECOS PAC ID: 5799736252
Enrollment ID: I20051205000075

Medical Identifiers

Medical identifiers for Dr Raphael A Buckle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700867074	NPI	-	NPPES
37BBHBH	Other		LEGACY#
1184881229	Other	GA	ORG NPI
06304211	Medicaid	MS
1700867074	Other		NPI
262717777A	Medicaid	GA
GRP7462	Other		GROUP#

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207K00000X	Allergy & Immunology	56408 (Georgia)	Secondary
208000000X	Pediatrics	56408 (Georgia)	Secondary
208000000X	Pediatrics	20416 (Mississippi)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Raphael A Buckle allows following entities to bill medicare on his behalf.

Entity Name	Emergency Coverage Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050411000056

Entity Name	The Bortolazzo Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801965082 PECOS PAC ID: 3476554320 Enrollment ID: O20070122000015

Entity Name	Emergency Group Of Columbus Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316458227 PECOS PAC ID: 2668735515 Enrollment ID: O20180406001191

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. Dr Raphael A Buckle is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Raphael A Buckle, MD 900 Earl Frye Blvd, Suite A, Amory, MS 38821-5507 Ph: (662) 256-9331	Dr Raphael A Buckle, MD 900 Earl Frye Blvd, Suite A, Amory, MS 38821-5507 Ph: (662) 256-9331

Reviews and Comments

Pediatrics Doctors in Amory, MS

Dr. Terry William Odom, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 702 Earl Frye Blvd, Amory, MS 38821 Phone: 662-256-9391 Fax: 662-256-4307
Thomas Henry Kloor Jr., MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1105 Earl Frye Blvd, Amory, MS 38821 Phone: 662-256-7111
Zhear Al-godi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1107 Earl Frye Blvd, Suite 5, Amory, MS 38821 Phone: 662-257-6705
Dr. Donald Carlisle Livingston, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 900 Earl Frye Blvd Ste A, Amory, MS 38821 Phone: 662-256-9331 Fax: 662-256-9349
Dr. Jason Doyle Simpson, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 900 Earl Frye Blvd, Amory, MS 38821 Phone: 662-256-9331
Mrs. Mary Ann King, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 900 Earl Frye Blvd, Suite A, Amory, MS 38821 Phone: 662-256-9331 Fax: 662-256-9349
John R Mcpherson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 900 Earl Frye Blvd Ste A, Amory, MS 38821 Phone: 662-256-9331 Fax: 662-597-6008

Dr Raphael A Buckle, MD - Medicare Pediatrics in Amory, MS