| Gregory Edward Buck, MD | |
|
1144 W Plymouth St, Bremen, IN 46506-1842 | |
| (574) 546-5363 | |
| (574) 546-2575 |
| Full Name | Gregory Edward Buck |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1144 W Plymouth St, Bremen, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144269861 | NPI | - | NPPES |
| 100358210A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01039562 (Indiana) | Primary |
| Entity Name | Beacon Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033161617 PECOS PAC ID: 1254243306 Enrollment ID: O20031105000657 |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory Edward Buck, MD 3245 Health Dr Ste 100, Granger, IN 46530-1380 Ph: (574) 647-2129 | Gregory Edward Buck, MD 1144 W Plymouth St, Bremen, IN 46506-1842 Ph: (574) 546-5363 |
Dr. Michael R Mcclaid, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1724 W Plymouth St, Bremen, IN 46506 Phone: 574-546-3045 Fax: 574-546-2716 | |
Keyna Ann Martinez, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1144 W Plymouth St, Bremen, IN 46506 Phone: 574-546-5363 Fax: 574-546-2575 | |
Frank A. Snyder, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1724 W Plymouth St, Bremen, IN 46506 Phone: 574-546-3045 Fax: 574-546-2716 | |
David M. Rosentrater, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1724 W Plymouth St, Bremen, IN 46506 Phone: 574-546-3045 Fax: 574-546-2716 | |
Dr. John Robert Larson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1724 W Plymouth St, Bremen, IN 46506 Phone: 574-546-3649 Fax: 574-546-3952 | |
Mrs. Laura A Both, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1144 W. Plymouth St., Bremen, IN 46506 Phone: 574-546-5363 Fax: 574-546-2575 |