| Mark C Bucy, MD | |
|
520 S Van Buren Rd, Suite 2, Eden, NC 27288-5201 | |
| (336) 627-5437 | |
| (336) 627-1681 |
| Full Name | Mark C Bucy |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 520 S Van Buren Rd, Eden, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639194723 | NPI | - | NPPES |
| 89130NU | Medicaid | NC | |
| 6733611 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 200100650 (North Carolina) | Primary |
| Entity Name | Wake Forest University Health Sciences |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark C Bucy, MD 520 S Van Buren Rd, Suite 2, Eden, NC 27288-5201 Ph: (336) 627-5437 | Mark C Bucy, MD 520 S Van Buren Rd, Suite 2, Eden, NC 27288-5201 Ph: (336) 627-5437 |
Dr. Zainab S Qayumi, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 509 S Van Buren Rd, Suite B, Eden, NC 27288 Phone: 336-627-5437 Fax: 336-627-1681 | |
Chamundambika Shanmugam, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 520 S Van Buren Rd, Suite 2, Eden, NC 27288 Phone: 336-635-6809 Fax: 336-635-6862 | |
Dr. Anne B King, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 520 S Van Buren Rd, Suite 2, Eden, NC 27288 Phone: 336-627-5437 Fax: 336-627-1681 | |
Dr. Vivian Eliza B Salvador, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 520 S Van Buren Rd, Suite 2, Eden, NC 27288 Phone: 336-627-5437 Fax: 336-627-1681 | |
Rozita Akhbari, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 509 S Van Buren Rd Ste B, Eden, NC 27288 Phone: 336-627-5437 Fax: 336-637-1681 | |
Inger M. Law, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 520 S. Van Buren Rd., Suite-2, Eden, NC 27288 Phone: 336-627-5437 Fax: 336-627-1681 |