Lisa Kim Buckles, is a medicare enrolled "Nurse Practitioner - Family" in Jblm, Washington. Her current practice location is
9040a Jackson Ave, Jblm, Washington. You can reach out to her office (for appointments etc.) via phone at
(253) 353-9089.
Lisa Kim Buckles is licensed to practice in Washington (license number AP60658000) 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 1851435887.
Provider's Profile
Full Name | Lisa Kim Buckles |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 9040a Jackson Ave, Jblm, Washington |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1851435887
- Provider Enumeration Date: 02/15/2007
- Last Update Date: 03/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 9638503352
- Enrollment ID: I20200107002192
Medical Identifiers
Medical identifiers for Lisa Kim Buckles such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851435887 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | RN00160391 (Washington) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | RN00160391 (Washington) | Secondary |
363LF0000X | Nurse Practitioner - Family | AP60658000 (Washington) | Primary |
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. Lisa Kim Buckles 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 |
Lisa Kim Buckles, 9040a Jackson Ave, Jblm, WA 98431 Ph: (253) 968-5828 | Lisa Kim Buckles, 9040a Jackson Ave, Jblm, WA 98431-8780 Ph: (253) 353-9089 |
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