| Micah Buck, OTR/L | |
|
803 Harrison St, Twin Falls, ID 83301-3925 | |
| (208) 732-1503 | |
| Not Available |
| Full Name | Micah Buck |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 803 Harrison St, Twin Falls, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730556366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT958 (Idaho) | Secondary |
| 225X00000X | Occupational Therapist | OT-958 (Idaho) | Primary |
| Provider Name | University Of Utah Adult Services |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683 |
| Mailing Address | Practice Location Address |
|---|---|
| Micah Buck, OTR/L 892 Canyon Rim Rd, Twin Falls, ID 83301-0025 Ph: (208) 283-6084 | Micah Buck, OTR/L 803 Harrison St, Twin Falls, ID 83301-3925 Ph: (208) 732-1503 |
Alison Kirkpatrick, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 562-234-2903 | |
Joel Vinson, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 254 River Vista Pl, Twin Falls, ID 83301 Phone: 208-734-7333 Fax: 208-734-8350 | |
Melissa Varela, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-1000 | |
Jason Ross Urry, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 775 Pole Line Rd W Ste 307, Twin Falls, ID 83301 Phone: 208-814-3726 | |
Lisa Smallwood, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1505 Madrona St N, Twin Falls, ID 83301 Phone: 719-659-1426 | |
Alysia Budd, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 254 River Vista Pl, Twin Falls, ID 83301 Phone: 208-734-7333 Fax: 208-734-8350 | |
Erin Krause, MS, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-2495 |