Dr Evan Buxbaum, MD is a medicare enrolled "Pediatrics" physician in Eastsound, Washington. His current practice location is
7 Deye Ln, Eastsound, Washington. You can reach out to his office (for appointments etc.) via phone at
(360) 293-3101.
Dr Evan Buxbaum is licensed to practice in Washington (license number MD60027949) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1174633069.
Physician's Profile
| Full Name | Dr Evan Buxbaum |
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| Gender | Male |
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| Speciality | Pediatrics |
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| Location | 7 Deye Ln, Eastsound, Washington |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1174633069
- Provider Enumeration Date: 08/30/2006
- Last Update Date: 08/12/2022
Medicare PECOS Information:
- PECOS PAC ID: 6507822632
- Enrollment ID: I20081015000104
Medical Identifiers
Medical identifiers for Dr Evan Buxbaum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174633069 | NPI | - | NPPES |
| 8522369 | Medicaid | WA | |
| MD3127 | Medicaid | AK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | MD15949 (Hawaii) | Secondary |
| 208000000X | Pediatrics | A116531 (California) | Secondary |
| 208000000X | Pediatrics | 5472 (Alaska) | Secondary |
| 208000000X | Pediatrics | MD60027949 (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. Dr Evan Buxbaum allows following entities to bill medicare on his behalf.
| Entity Name | Public Hospital District No 2 Skagit County Washington |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740203967
PECOS PAC ID: 1153225198
Enrollment ID: O20031121000440 |
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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. Dr Evan Buxbaum 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 |
|---|
Dr Evan Buxbaum, MD
1211 24th St,
Anacortes, WA 98221-2562
Ph: (360) 293-3101 | Dr Evan Buxbaum, MD
7 Deye Ln,
Eastsound, WA 98245-8578
Ph: (360) 293-3101 |
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