| Madison Haley Buck, DNP DOCTOR OF NURSI | |
|
1425 Horsham Rd, North Wales, PA 19454-1320 | |
| (215) 370-3000 | |
| Not Available |
| Full Name | Madison Haley Buck |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 1425 Horsham Rd, 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 |
|---|---|---|---|
| 1154666725 | NPI | - | NPPES |
| 1000072290052 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN638577 (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 |
| Entity Name | Medical Director Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871955807 PECOS PAC ID: 0042501116 Enrollment ID: O20240105000107 |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Haley Buck, DNP DOCTOR OF NURSI 1430 Dekalb St, Norristown, PA 19401-3406 Ph: (610) 278-5117 | Madison Haley Buck, DNP DOCTOR OF NURSI 1425 Horsham Rd, North Wales, PA 19454-1320 Ph: (215) 370-3000 |
Tyrika Simone Pierce, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 111 Major Ln, North Wales, PA 19454 Phone: 215-530-7369 |
Deborah Buck, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 171 Filly Drive, North Wales, PA 19454 Phone: 215-393-7379 |
Patrick Ryan Jr., FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 212 N Main St Rm 300, North Wales, PA 19454 Phone: 215-481-2000 |
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: Accepting Medicare Assignments Practice Location: 1427 Horsham Rd, North Wales, PA 19454 Phone: 215-326-9065 Fax: 215-703-9776 |
Krupali Patel, FNP Nurse Practitioner Medicare: May Accept 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 |