Daryl Quintin Buckelew, MD in Shreveport, LA

Daryl Quintin Buckelew, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Shreveport, Louisiana. He went to University Of Texas Medical School At San Antonio and graduated in 1993 and has 31 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Christus Trinity Clinic and his current practice location is 3217 Mabel St, Shreveport, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 631-9121.

Daryl Quintin Buckelew is licensed to practice in Louisiana (license number 340576) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1588600662.

Contact Information

	Daryl Quintin Buckelew, MD
	3217 Mabel St, Shreveport, LA 71103-4022
	(318) 631-9121
	(318) 631-9126

Map and Direction

Physician's Profile

Full Name	Daryl Quintin Buckelew
Gender	Male
Speciality	Gastroenterology
Experience	31 Years
Location	3217 Mabel St, Shreveport, Louisiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Daryl Quintin Buckelew attended and graduated from University Of Texas Medical School At San Antonio in 1993

NPI Data:

NPI Number: 1588600662
Provider Enumeration Date: 06/20/2006
Last Update Date: 07/02/2024

Medicare PECOS Information:

PECOS PAC ID: 0648260489
Enrollment ID: I20040514000217

Medical Identifiers

Medical identifiers for Daryl Quintin Buckelew such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588600662	NPI	-	NPPES
2654055	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RG0100X	Internal Medicine - Gastroenterology	K6994 (Texas)	Secondary
207RG0100X	Internal Medicine - Gastroenterology	340576 (Louisiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Christus Good Shepherd Medical Center	Longview, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Christus Trinity Clinic	3072426741	1217

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. Daryl Quintin Buckelew allows following entities to bill medicare on his behalf.

Entity Name	Christus Trinity Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091

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. Daryl Quintin Buckelew 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
Daryl Quintin Buckelew, MD Po Box 38150, Shreveport, LA 71133-8150 Ph: (318) 631-9121	Daryl Quintin Buckelew, MD 3217 Mabel St, Shreveport, LA 71103-4022 Ph: (318) 631-9121

Reviews and Comments

Internal Medicine Doctors in Shreveport, LA

Mansi Shah, D.O. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1455 E Bert Koun Loop, #210, Shreveport, LA 71105 Phone: 318-798-4515 Fax: 318-798-4530
Pratik Agrawal, Gastroenterology Medicare: Medicare Enrolled Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000
Dr. Bader Alotaibi, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 2727 Hearne Ave Ste 301, Shreveport, LA 71103 Phone: 318-631-6400
Paul A Rushing, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1455 E Bert Kouns Loop, Shreveport, LA 71105 Phone: 318-798-4488 Fax: 318-798-4420
Sanjay Jain, Gastroenterology Medicare: Medicare Enrolled Practice Location: 510 E Stoner Ave, Primary Care (110), Shreveport, LA 71101 Phone: 318-221-8411
Steven R Bailey, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000
Venkateswara K Rao, M.D., Gastroenterology Medicare: Medicare Enrolled Practice Location: 1501 Kings Hwy, Department Of Medicine, Shreveport, LA 71103 Phone: 318-675-5000

Daryl Quintin Buckelew, MD - Medicare Gastroenterology in Shreveport, LA