Emma Mae Buckingham, is a medicare enrolled "Counselor - Mental Health" provider in Bloomington, Minnesota. Her current practice location is
1550 American Blvd E Ste 550, Bloomington, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(612) 778-6191.
Emma Mae Buckingham is licensed to practice in * (Not Available) (license number ) 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 1144910621.
Healthcare Provider's Profile
Full Name | Emma Mae Buckingham |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 1550 American Blvd E Ste 550, Bloomington, Minnesota |
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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: 1144910621
- Provider Enumeration Date: 05/09/2023
- Last Update Date: 10/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 0244699668
- Enrollment ID: I20230703002456
Medical Identifiers
Medical identifiers for Emma Mae Buckingham such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144910621 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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. Emma Mae Buckingham allows following entities to bill medicare on her behalf.
Entity Name | Affinity Psychological Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245610856 PECOS PAC ID: 0749528552 Enrollment ID: O20190220001363 |
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Entity Name | Fraser Child And Family Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1609922194 PECOS PAC ID: 3971918772 Enrollment ID: O20210208002399 |
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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. Emma Mae Buckingham 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 |
Emma Mae Buckingham, 1801 American Blvd E Ste 8, Bloomington, MN 55425-1230 Ph: () - | Emma Mae Buckingham, 1550 American Blvd E Ste 550, Bloomington, MN 55425-3100 Ph: (612) 778-6191 |
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