Andrew Madison Buckelew, DO | |
2809 Denny Ave, Pascagoula, MS 39581-5301 | |
(228) 809-5510 | |
(228) 809-5519 |
Full Name | Andrew Madison Buckelew |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 2809 Denny Ave, Pascagoula, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801355607 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | OS18983 (Florida) | Secondary |
208000000X | Pediatrics | 30451 (Mississippi) | Primary |
Entity Name | Sacred Heart Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144271586 PECOS PAC ID: 3779491386 Enrollment ID: O20031125000699 |
Entity Name | Emergency Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285686675 PECOS PAC ID: 7911811435 Enrollment ID: O20040407000673 |
Mailing Address | Practice Location Address |
---|---|
Andrew Madison Buckelew, DO 2101 Highway 90, Gautier, MS 39553-5340 Ph: (228) 497-7576 | Andrew Madison Buckelew, DO 2809 Denny Ave, Pascagoula, MS 39581-5301 Ph: (228) 809-5510 |
Yolanda A Gutierrez, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4105 Hospital Rd, Ste 104, Pascagoula, MS 39581 Phone: 228-762-9595 Fax: 228-762-9494 | |
Dr. Theodore Michael Millette, M. D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4105 Hospital St, Ste 103, Pascagoula, MS 39581 Phone: 228-762-8712 Fax: 228-762-2261 | |
Dr. Grazyna Wierzbicka, M. D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4105 Hospital St, Ste 103, Pascagoula, MS 39581 Phone: 228-762-8712 Fax: 228-762-2261 | |
Chiazo Nnawuchi-ekenna, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4105 Hospital St, Suite 104, Pascagoula, MS 39581 Phone: 228-762-9595 Fax: 228-762-9494 | |
Dr. Bradley Paetz, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2809 Denny Ave, Pascagoula, MS 39581 Phone: 228-809-5510 Fax: 228-809-5519 | |
Dr. Matthew Francis Kuluz, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5410 River Rd, Pascagoula, MS 39567 Phone: 228-762-8238 |