| Brielle Marie Buckley, PA | |
|
801 Wellness Way Ste 107, Sebastian, FL 32958 | |
| (772) 226-4200 | |
| (772) 581-5781 |
| Full Name | Brielle Marie Buckley |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 18 Years |
| Location | 801 Wellness Way Ste 107, Sebastian, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528218815 | NPI | - | NPPES |
| 328101601 | Medicaid | TX | |
| 8697NJ | Other | TX | BCBS |
| 8663ND | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA07418 (Texas) | Secondary |
| 363A00000X | Physician Assistant | PA9110318 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medfast Urgent Care Centers Llc | 1052418837 | 73 |
| Entity Name | Medfast Urgent Care Centers LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285735605 PECOS PAC ID: 1052418837 Enrollment ID: O20070514000442 |
| Entity Name | Hma-solantic Joint Venture LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689812109 PECOS PAC ID: 6002955788 Enrollment ID: O20091209000716 |
| Mailing Address | Practice Location Address |
|---|---|
| Brielle Marie Buckley, PA 1000 36th St, Vero Beach, FL 32960-4862 Ph: (772) 567-4311 | Brielle Marie Buckley, PA 801 Wellness Way Ste 107, Sebastian, FL 32958 Ph: (772) 226-4200 |
Sheila Richard, CST, CSFA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 981 Tarpon Ave, Sebastian, FL 32958 Phone: 321-508-8756 |
Mrs. Sherri Madrid Anderson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 13695 Us Highway 1, Sebastian, FL 32958 Phone: 772-581-2045 |
Todd Charles Hull, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13000 Us Highway 1 Ste 5, Sebastian, FL 32958 Phone: 772-581-5881 Fax: 772-581-5883 |
Isabella Maria Dimaso, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13230 Us Highway 1, Sebastian, FL 32958 Phone: 772-589-0300 Fax: 772-589-4550 |
Mark Hasenauer, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 8701 N Us Highway 1, Sebastian, FL 32958 Phone: 772-228-8480 |
Daniel Alejandro Gutierrez, RPAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7765 144th St Unit 1, Sebastian, FL 32958 Phone: 772-388-3551 Fax: 772-388-3557 |
Mr. Thomas Jeffrey Puskar, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8745 N Us Highway 1, Sebastian, FL 32958 Phone: 772-217-5362 |