| Erin Kathleen Buckley, MD | |
|
180 S Main St, Canton, IL 61520 | |
| (309) 647-0201 | |
| (309) 649-8951 |
| Full Name | Erin Kathleen Buckley |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 16 Years |
| Location | 180 S Main St, Canton, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417261041 | NPI | - | NPPES |
| 23442 | Other | IL | RESURRECTION HEALTH CARE SYSTEM (ST FRANCIS HOSPITAL) |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 036131875 (Illinois) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 2018015066 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital St Louis | Saint louis, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Clinic East Communities | 7214827922 | 535 |
| Entity Name | Mercy Hospitals East Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851431738 PECOS PAC ID: 1658276811 Enrollment ID: O20031218000107 |
| Entity Name | Mercy Clinic East Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851335228 PECOS PAC ID: 7214827922 Enrollment ID: O20070521000006 |
| Entity Name | Mercy Womens Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629327788 PECOS PAC ID: 2466699814 Enrollment ID: O20130502000534 |
| Mailing Address | Practice Location Address |
|---|---|
| Erin Kathleen Buckley, MD 621 S New Ballas Rd Ste 4017b, Saint Louis, MO 63141-8269 Ph: (314) 872-9192 | Erin Kathleen Buckley, MD 180 S Main St, Canton, IL 61520 Ph: (309) 647-0201 |
Alyssa Crawford, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 180 S Main St, Canton, IL 61520 Phone: 309-647-0201 | |
Michael J Sammarco, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 180 S Main St, Canton, IL 61520 Phone: 309-647-0201 Fax: 309-649-6880 |