| Ronald Buckley, DO | |
|
2000 Meade Parkway, Suffolk, VA 23434-4259 | |
| (757) 539-0251 | |
| (757) 923-9602 |
| Full Name | Ronald Buckley |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Location | 2000 Meade Parkway, Suffolk, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871559567 | NPI | - | NPPES |
| 070013557 | Other | VA | RAILROAD MEDICARE |
| 690582U | Medicaid | NC | |
| 5901553 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 0102200838 (Virginia) | Primary |
| Entity Name | Bayview Physician Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508813387 PECOS PAC ID: 5597664201 Enrollment ID: O20031231000719 |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald Buckley, DO Po Box 7068, Portsmouth, VA 23707-0068 Ph: (757) 686-3508 | Ronald Buckley, DO 2000 Meade Parkway, Suffolk, VA 23434-4259 Ph: (757) 539-0251 |
Robert S. Baer, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3907 Bridge Rd Ste 200, Suffolk, VA 23435 Phone: 757-622-6315 Fax: 757-622-7022 | |
Dr. Beverly Ann Johnson, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2000 Meade Pkwy, Suffolk, VA 23434 Phone: 757-934-9395 | |
Dr. Kevin Eugene Dehart, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3907 Bridge Rd Ste 200, Suffolk, VA 23435 Phone: 757-622-6315 Fax: 757-622-7022 | |
Charlene Warner Oldfield, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3907 Bridge Rd Ste 200, Suffolk, VA 23435 Phone: 757-622-6315 Fax: 757-622-7022 |