| Robert L Buckley, MD | |
|
56 Dutch Ln, Columbus, MS 39702-5500 | |
| (662) 329-3808 | |
| (662) 329-3873 |
| Full Name | Robert L Buckley |
|---|---|
| Gender | Male |
| Speciality | Pediatric Medicine |
| Experience | 55 Years |
| Location | 56 Dutch Ln, Columbus, Mississippi |
| 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 |
|---|---|---|---|
| 1356314702 | NPI | - | NPPES |
| 00112393 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 06164 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Memorial Hospital Golden Triangle Inc | Columbus, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dutch Medical Clinics, Inc | 9234376088 | 21 |
| Entity Name | Dutch Medical Clinics, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215276175 PECOS PAC ID: 9234376088 Enrollment ID: O20130515000064 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert L Buckley, MD 56 Dutch Ln, Columbus, MS 39702-5500 Ph: (662) 329-3808 | Robert L Buckley, MD 56 Dutch Ln, Columbus, MS 39702-5500 Ph: (662) 329-3808 |
Dr. Stefanie Lee Shaver, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: Koritz Clinic 201 Independence Drive, Columbus, MS 39710 Phone: 662-434-2292 | |
Dr. Ryan Wendt, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 670 Leigh Dr, Columbus, MS 39705 Phone: 662-328-1012 | |
Aaron Josias Salazar, Family Medicine Medicare: Medicare Enrolled Practice Location: 201 Independence Bldg 1100, Columbus, MS 39710 Phone: 662-434-2377 | |
Dr. Gerald Turner, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 56 Dutch Ln, Columbus, MS 39702 Phone: 662-329-3808 Fax: 662-329-3873 | |
John Stanback, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2600 5th St N, Columbus, MS 39705 Phone: 662-244-2960 Fax: 662-244-2964 | |
Dr. Kevin Petronela Juozapavicius, D.O., MS, BS Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 Independence, Columbus Afb, Columbus, MS 39710 Phone: 662-434-2273 |