| Dr Ronald L Buckman, MD | |
|
921 Boston Tpke, Bolton, CT 06043-7403 | |
| (860) 646-0649 | |
| (860) 649-9195 |
| Full Name | Dr Ronald L Buckman |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 47 Years |
| Location | 921 Boston Tpke, Bolton, Connecticut |
| 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 |
|---|---|---|---|
| 1871561092 | NPI | - | NPPES |
| 001229012 | Medicaid | CT | |
| 022901 | Other | CT | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | 022901 (Connecticut) | Primary |
| 207Q00000X | Family Medicine | 022901 (Connecticut) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Manchester Memorial Hospital | Manchester, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prime Healthcare, Pc | 6709787930 | 62 |
| Entity Name | Prime Healthcare, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184819302 PECOS PAC ID: 6709787930 Enrollment ID: O20040121000411 |
| Entity Name | Family Medicine Partnership Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306995725 PECOS PAC ID: 0941365738 Enrollment ID: O20090211000177 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ronald L Buckman, MD 921 Boston Tpke, Bolton, CT 06043-7403 Ph: (860) 646-0649 | Dr Ronald L Buckman, MD 921 Boston Tpke, Bolton, CT 06043-7403 Ph: (860) 646-0649 |
Piper P Lillard, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 921 Boston Tpke, Suite 2, Bolton, CT 06043 Phone: 860-646-0649 Fax: 860-649-9195 | |
Irene-lee Ann Klein, NP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 921 Boston Tpke, Bolton, CT 06043 Phone: 860-646-0649 Fax: 860-512-0380 |