Nicole Buckley, - Medicare Nurse Practitioner in Lakewood, OH

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Nicole Buckley, is a medicare enrolled "Nurse Practitioner - Family" in Lakewood, Ohio. She graduated from nursing school in 2015 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Minuteclinic Diagnostic Of Ohio Llc and her current practice location is 11706 Clifton Blvd, Lakewood, Ohio. You can reach out to her office (for appointments etc.) via phone at (216) 228-9296.

Nicole Buckley is licensed to practice in Ohio (license number COA.18765-NP) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1033570346.

Contact Information

Nicole Buckley,
11706 Clifton Blvd,
Lakewood, OH 44107-2018
(216) 228-9296
Not Available

Map and Direction




Provider's Profile

Full NameNicole Buckley
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location11706 Clifton Blvd, Lakewood, Ohio
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nicole Buckley graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1033570346
  • Provider Enumeration Date: 03/14/2016
  • Last Update Date: 03/14/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 4789982976
  • Enrollment ID: I20160421001403

Medical Identifiers

Medical identifiers for Nicole Buckley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033570346NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family COA.18765-NP (Ohio)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Minuteclinic Diagnostic Of Ohio Llc2961425608184

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicole Buckley allows following entities to bill medicare on her behalf.
Entity NameMinuteclinic Diagnostic Of Ohio Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699747303
PECOS PAC ID: 2961425608
Enrollment ID: O20060109001066

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. Nicole Buckley 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 AddressPractice Location Address
Nicole Buckley,
16514 Munn Rd,
Cleveland, OH 44111-2065

Ph: (440) 364-5444		Nicole Buckley,
11706 Clifton Blvd,
Lakewood, OH 44107-2018

Ph: (216) 228-9296

Reviews and Comments


Nurse Practitioner Nurses in Lakewood, OH

Regina West, FNP-C
Nurse Practitioner
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Practice Location: 1522 Victoria Ave, Lakewood, OH 44107
Phone: 216-308-2284    
Dominique Marie Fatica,
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Practice Location: 11706 Clifton Blvd, Lakewood, OH 44107
Phone: 866-389-2727    
Madelyn Suzanne Yacavino, NP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 11706 Clifton Blvd, Lakewood, OH 44107
Phone: 216-228-9296    
Elizabeth Crespo, CNP
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Medicare: Accepting Medicare Assignments
Practice Location: 14519 Detroit Ave, Lakewood, OH 44107
Phone: 216-521-4200    
Nesreen Ghazi Jawhari, PNP-PC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 14701 Detroit Ave Ste 250, Lakewood, OH 44107
Phone: 216-221-5901    
Mrs. Christine Ann Dearth, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 14601 Detroit Ave, Suite 540, Lakewood, OH 44107
Phone: 216-529-5300    Fax: 216-529-5301

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.