| Michael Andrew Buckner, MD | |
| 55 Fogg Rd, South Weymouth, MA 02190-2432 | |
| (781) 340-8000 | |
| Not Available | 
| Full Name | Michael Andrew Buckner | 
|---|---|
| Gender | Male | 
| Speciality | Radiology - Diagnostic Radiology | 
| Location | 55 Fogg Rd, South Weymouth, Massachusetts | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1326539727 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 286002 (Massachusetts) | Primary | 
| Entity Name | South Shore Radiological Associates Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1518984319 PECOS PAC ID: 6507838810 Enrollment ID: O20040809000148 | 
| Entity Name | Umass Memorial Radiology Phys Serv | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1639122096 PECOS PAC ID: 6800868779 Enrollment ID: O20040811000206 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Michael Andrew Buckner, MD 55 Fogg Rd, South Weymouth, MA 02190-2432 Ph: (781) 340-8000 | Michael Andrew Buckner, MD 55 Fogg Rd, South Weymouth, MA 02190-2432 Ph: (781) 340-8000 | 
| William Davenport Powlis, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Columbian St, Radiation Oncology, South Weymouth, MA 02190 Phone: 781-624-4700 Fax: 781-624-4710 | |
| James N Suojanen, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 Fogg Rd, South Weymouth, MA 02190 Phone: 781-337-7011 | |
| Sana Majid, MD Radiology Medicare: Medicare Enrolled Practice Location: 55 Fogg Rd, South Weymouth, MA 02190 Phone: 781-340-8000 | |
| Robert L Gore, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 Fogg Rd, South Weymouth, MA 02190 Phone: 781-337-7011 | |
| Dr. Nathaniel N Temin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 Fogg Rd, South Weymouth, MA 02190 Phone: 781-624-8493 | |
| Russell Kelley, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 55 Fogg Rd, South Weymouth, MA 02190 Phone: 781-337-7011 | |
| Dr. Rafael Antonio Altieri, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 Fogg Rd, South Weymouth, MA 02190 Phone: 781-344-8000 |