| Deborah Buck, CRNP | |
| 171 Filly Drive, North Wales, PA 19454 | |
| (215) 393-7379 | |
| Not Available | 
| Full Name | Deborah Buck | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Psychiatric/mental Health | 
| Location | 171 Filly Drive, North Wales, Pennsylvania | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1386861979 | NPI | - | NPPES | 
| BU982336 | Other | PA | PA BLUE SHIELD | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | TP004991C (Pennsylvania) | Primary | 
| Entity Name | Vista Medical Services Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1659452027 PECOS PAC ID: 5597743344 Enrollment ID: O20040709000144 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Deborah Buck, CRNP 171 Philly Drive, North Wales, PA 19454 Ph: (215) 393-7379 | Deborah Buck, CRNP 171 Filly Drive, North Wales, PA 19454 Ph: (215) 393-7379 | 
| Ms. Diane R. Mcnickle, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1425 Horsham Rd, North Wales, PA 19454 Phone: 215-371-6310 | |
| Mrs. Lateefa Antrom, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1427 Horsham Rd, North Wales, PA 19454 Phone: 215-326-9065 Fax: 215-703-9776 | |
| Krupali Patel, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1425 Horsham Rd, North Wales, PA 19454 Phone: 215-371-3000 | |
| Felicia Bortsoo Borketey, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 703 Santa Anita Dr, North Wales, PA 19454 Phone: 614-592-1220 | |
| Lauren Catherine Young, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 128 Annabel Rd, North Wales, PA 19454 Phone: 856-217-0799 | |
| Elizabeth Walton,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1427 Horsham Rd, North Wales, PA 19454 Phone: 215-326-9065 Fax: 215-703-9776 |