| Kaitlin Buckner, PA | |
|
6043 Hudson Rd Ste 220, Woodbury, MN 55125-1033 | |
| (651) 925-8200 | |
| (651) 925-8201 |
| Full Name | Kaitlin Buckner |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 22 Years |
| Location | 6043 Hudson Rd Ste 220, Woodbury, Minnesota |
| 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 |
|---|---|---|---|
| 1104852094 | NPI | - | NPPES |
| 20047220A | Medicaid | OK |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kanakanak Hospital | Dillingham, AK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bristol Bay Area Health Corporation | 5890699920 | 114 |
| Entity Name | Southeast Alaska Regional Health Consortium |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376758037 PECOS PAC ID: 1456265362 Enrollment ID: O20031114000631 |
| Entity Name | Bristol Bay Area Health Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235291246 PECOS PAC ID: 5890699920 Enrollment ID: O20031120000998 |
| Mailing Address | Practice Location Address |
|---|---|
| Kaitlin Buckner, PA 64 Touchstone, Lake Oswego, OR 97035-1909 Ph: (702) 994-4332 | Kaitlin Buckner, PA 6043 Hudson Rd Ste 220, Woodbury, MN 55125-1033 Ph: (651) 925-8200 |
Abby J Ross, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2090 Woodwinds Dr, Woodbury, MN 55125 Phone: 651-968-5201 Fax: 651-968-5904 |
Jennifer Susan Ellis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4040 Radio Dr, Woodbury, MN 55129 Phone: 651-439-8807 Fax: 651-439-0232 |
Gina Henderson, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 710 Commerce Dr Ste 2000, Woodbury, MN 55125 Phone: 414-288-5688 |
Allison Cole, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2090 Woodwinds Dr, Woodbury, MN 55125 Phone: 651-968-5201 |
David Preston Law, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8675 Valley Creek Rd, Woodbury, MN 55125 Phone: 651-241-3000 Fax: 651-241-3205 |
Ms. Eunice Lee, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 8675 Valley Creek Rd, Woodbury, MN 55125 Phone: 651-241-3000 Fax: 651-241-3507 |
Nina Lebrun, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6025 Lake Rd Ste 200, Woodbury, MN 55125 Phone: 651-999-6800 |