Yetunde Bucknor, MD in Decatur, IL

Yetunde Bucknor, MD is a medicare enrolled "Surgery" physician in Decatur, Illinois. Her current practice location is 2905 N Main St, Community Health Improvement Center, Decatur, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 877-9117.

Yetunde Bucknor is licensed to practice in Illinois (license number 036096908) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1043320815.

Contact Information

	Yetunde Bucknor, MD
	2905 N Main St, Community Health Improvement Center, Decatur, IL 62526
	(217) 877-9117
	(217) 877-3082

Map and Direction

Physician's Profile

Full Name	Yetunde Bucknor
Gender	Female
Speciality	Surgery
Location	2905 N Main St, Decatur, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043320815
Provider Enumeration Date: 08/30/2006
Last Update Date: 11/01/2011

Medicare PECOS Information:

PECOS PAC ID: 4981910353
Enrollment ID: I20150831001371

Medical Identifiers

Medical identifiers for Yetunde Bucknor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043320815	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	036096908 (Illinois)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Yetunde Bucknor allows following entities to bill medicare on her behalf.

Entity Name	Community Clinic, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790730281 PECOS PAC ID: 6204722614 Enrollment ID: O20040224000222

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Yetunde Bucknor is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Yetunde Bucknor, MD 2905 N Main St, Community Health Improvement Center, Decatur, IL 62526 Ph: (217) 877-9117	Yetunde Bucknor, MD 2905 N Main St, Community Health Improvement Center, Decatur, IL 62526 Ph: (217) 877-9117

Reviews and Comments

Surgery Doctors in Decatur, IL

Dr. Ranjodh Singh, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Memorial Dr, Decatur, IL 62526 Phone: 217-876-5500 Fax: 217-876-5505
Timothy S Bailey, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1 Memorial Dr Ste 300, Decatur, IL 62526 Phone: 217-876-5500 Fax: 217-876-5505
John Joseph White, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1750 E Lake Shore Dr, Ste 200, Decatur, IL 62521 Phone: 217-428-6300 Fax: 217-428-6322
Dr. Nikesh Lath, M.D Surgery Medicare: Accepting Medicare Assignments Practice Location: 1750 E Lake Shore Dr, Decatur, IL 62521 Phone: 217-464-1200
Robin Michelle Riley, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 480-522-8661
Donald Paul Kamm, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 441 W Hay St, Decatur, IL 62526 Phone: 217-424-2374 Fax: 217-424-2383

Yetunde Bucknor, MD - Medicare Surgery in Decatur, IL