Alice Yvette Buckles, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Spokane, Washington. Her current practice location is
701 E 3rd Ave, Spokane, Washington. You can reach out to her office (for appointments etc.) via phone at
(509) 838-6092.
Alice Yvette Buckles is licensed to practice in Washington (license number LW60315801) 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 1235479833.
Healthcare Provider's Profile
| Full Name | Alice Yvette Buckles |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 701 E 3rd Ave, Spokane, Washington |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1235479833
- Provider Enumeration Date: 02/20/2013
- Last Update Date: 05/31/2024
Medicare PECOS Information:
- PECOS PAC ID: 6709028020
- Enrollment ID: I20130815000177
Medical Identifiers
Medical identifiers for Alice Yvette Buckles such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235479833 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CP00004746 (Washington) | Secondary |
| 104100000X | Social Worker | LW60315801 (Washington) | Secondary |
| 1041C0700X | Social Worker - Clinical | LW60315801 (Washington) | 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. Alice Yvette Buckles allows following entities to bill medicare on her behalf.
| Entity Name | Mindful Therapy Group Pc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1316238678
PECOS PAC ID: 4981872561
Enrollment ID: O20110726000730 |
|---|
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. Alice Yvette Buckles 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 |
|---|
Alice Yvette Buckles, LICSW
16540 N Morton Dr,
Spokane, WA 99208-7532
Ph: (509) 263-3717 | Alice Yvette Buckles, LICSW
701 E 3rd Ave,
Spokane, WA 99202-6014
Ph: (509) 838-6092 |
Reviews and Comments