Ernestina S Buck, PHD | |
33 Subway St, Bisbee, AZ 85603 | |
(520) 227-3695 | |
(855) 568-6439 |
Full Name | Ernestina S Buck |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 33 Subway St, Bisbee, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245544162 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC-1608 (Arizona) | Primary |
Entity Name | Brightside Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801355482 PECOS PAC ID: 6608262464 Enrollment ID: O20230403000549 |
Mailing Address | Practice Location Address |
---|---|
Ernestina S Buck, PHD Po Box 4171, Bisbee, AZ 85603-4171 Ph: (520) 227-3695 | Ernestina S Buck, PHD 33 Subway St, Bisbee, AZ 85603 Ph: (520) 227-3695 |
Ms. Carole Parent, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6 Moon Canyon, Bisbee, AZ 85603 Phone: 520-432-7150 | |
Mrs. Jill Marie Killeen, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1326 W Highway 92 Ste J, Bisbee, AZ 85603 Phone: 520-432-7751 Fax: 520-432-3695 | |
Cheryl Dehaven, MA, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 24 Howell Ave, Suite 11, Bisbee, AZ 85603 Phone: 520-678-5851 | |
Mr. Robert W. Luigs, LISAC-10352 Counselor Medicare: Not Enrolled in Medicare Practice Location: 229a Tombstone Canyon, Bisbee, AZ 85603 Phone: 928-925-1557 | |
Faye Chapman Hoese, LPC Counselor Medicare: Medicare Enrolled Practice Location: 24 Howell Ave., Box 544, Bisbee, AZ 85603 Phone: 520-249-8061 Fax: 520-432-3585 | |
Ms. Laura Lindsay, MSW, LISAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1326 W Highway 92 Ste J, Bisbee, AZ 85603 Phone: 520-432-7751 Fax: 520-432-3695 |