| Jacqueline R. Buckley, Llc | |
|
1412 Sw 43rd St, Renton, WA 98057-4803 | |
| (360) 504-6665 | |
| (844) 979-3080 |
| Full Name | Jacqueline R. Buckley, Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 1412 Sw 43rd St, Renton, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568085454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
| Provider Name | Jacqueline R Buckley |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1518246628 PECOS PAC ID: 3476704032 Enrollment ID: I20121108000511 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline R. Buckley, Llc 9706 S 230th Pl, Kent, WA 98031-2728 Ph: (404) 808-4486 | Jacqueline R. Buckley, Llc 1412 Sw 43rd St, Renton, WA 98057-4803 Ph: (360) 504-6665 |
Padhma Venkitapathy, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 10555 Se Carr Rd, Renton, WA 98055 Phone: 425-690-3510 Fax: 425-690-9510 | |
Valley Foot & Ankle Pllc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 433 Sw 41st St, Renton, WA 98057 Phone: 425-226-5656 Fax: 425-271-1488 | |
Dr. Deborah Jean Ketterer, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4361 Talbot Rd S, Suite 101, Renton, WA 98055 Phone: 425-271-1351 Fax: 425-271-1368 | |
Shawn B Khademi, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4300 Talbot Rd S Ste 102, Renton, WA 98055 Phone: 425-277-3668 | |
Dr. Christopher Alan Robertson, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 433 Sw 41st St, Renton, WA 98057 Phone: 425-226-5656 Fax: 425-271-1488 | |
Dr. Nick Nghia Dang, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 10555 Se Carr Rd, Bldg M, Renton, WA 98055 Phone: 425-203-7290 Fax: 425-656-5422 | |
Calvin Eugene Davis, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4033 Talbot Rd S Ste 350, Renton, WA 98055 Phone: 425-690-3510 Fax: 425-690-9510 |