Kathleen Janel Buckley, is a medicare enrolled "Social Worker - Clinical" provider in Belle Isle, Florida. Her current practice location is
1613 Wind Drift Rd, Belle Isle, Florida. You can reach out to her office (for appointments etc.) via phone at
(773) 590-2381.
Kathleen Janel Buckley is licensed to practice in Florida (license number SW16183) 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 1548873714.
Healthcare Provider's Profile
Full Name | Kathleen Janel Buckley |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1613 Wind Drift Rd, Belle Isle, Florida |
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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: 1548873714
- Provider Enumeration Date: 08/27/2020
- Last Update Date: 11/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 6901213206
- Enrollment ID: I20210405000836
Medical Identifiers
Medical identifiers for Kathleen Janel Buckley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548873714 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 149.008482 (Illinois) | Secondary |
1041C0700X | Social Worker - Clinical | SW16183 (Florida) | Primary |
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. Kathleen Janel 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 Address | Practice Location Address |
Kathleen Janel Buckley, 1613 Wind Drift Rd, Belle Isle, FL 32809-6838 Ph: (773) 590-2381 | Kathleen Janel Buckley, 1613 Wind Drift Rd, Belle Isle, FL 32809-6838 Ph: (773) 590-2381 |
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