| Kenneth R Buccino, MD | |
|
100 E. Main Street, Suite C, Medford, OR 97501-6041 | |
| (541) 789-4728 | |
| (541) 789-4765 |
| Full Name | Kenneth R Buccino |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 32 Years |
| Location | 100 E. Main Street, Suite C, Medford, Oregon |
| 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 |
|---|---|---|---|
| 1366407934 | NPI | - | NPPES |
| 151255 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | MD21074 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Asante Rogue Regional Medical Center | Medford, OR | Hospital |
| Asante Ashland Community Hospital | Ashland, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Asante | 0547177321 | 113 |
| Asante Ashland Community Hospital Llc | 7012286859 | 34 |
| Entity Name | Asante |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770587107 PECOS PAC ID: 0547177321 Enrollment ID: O20031219000238 |
| Entity Name | Asante Ashland Community Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730628827 PECOS PAC ID: 7012286859 Enrollment ID: O20180426001620 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth R Buccino, MD 100 E. Main Street, Suite C, Medford, OR 97501-6041 Ph: (541) 789-4728 | Kenneth R Buccino, MD 100 E. Main Street, Suite C, Medford, OR 97501-6041 Ph: (541) 789-4728 |
Hannah D Wolsiefer-leak, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2825 E Barnett Rd, Medford, OR 97504 Phone: 541-789-7000 | |
Ashley R Laird, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2825 E Barnett Rd, Medford, OR 97504 Phone: 541-789-7000 Fax: 310-782-1763 | |
Dr. Peter Canning, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2825 East Barnett Road, Rm 1c026, Medford, OR 97504 Phone: 541-789-7000 | |
Mrs. Alicia L Welder, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2825 E Barnett Rd, Medford, OR 97504 Phone: 541-789-7000 | |
Jason Cassidy Herfindahl, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2825 E Barnett Rd, Medford, OR 97504 Phone: 541-880-8460 | |
Dr. David Ryland Thornberry, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1111 Crater Lake Ave, Medford, OR 97504 Phone: 541-732-6440 | |
Dr. Douglas S Shields, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 Crater Lake Ave, Medford, OR 97504 Phone: 503-215-4323 Fax: 503-215-0297 |