Dr Keith R Bucklen, MD in Miramar, FL - Medicare Family Medicine

Dr Keith R Bucklen, MD is a medicare enrolled "Family Medicine" physician in Miramar, Florida. His current practice location is 3601 Sw 160th Ave, Suite 250, Miramar, Florida. You can reach out to his office (for appointments etc.) via phone at (877) 866-7123.

Dr Keith R Bucklen is licensed to practice in North Carolina (license number 2005-01383) 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 1093877292.

Contact Information

	Dr Keith R Bucklen, MD
	3601 Sw 160th Ave, Suite 250, Miramar, FL 33027-6308
	(877) 866-7123
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Keith R Bucklen
Gender	Male
Speciality	Family Medicine
Location	3601 Sw 160th Ave, Miramar, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093877292
Provider Enumeration Date: 12/14/2006
Last Update Date: 09/11/2024

Medicare PECOS Information:

PECOS PAC ID: 3072539964
Enrollment ID: I20051025000163

Medical Identifiers

Medical identifiers for Dr Keith R Bucklen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093877292	NPI	-	NPPES
140UU	Other	NC	BCBS GROUP NUMBER
5901752	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	200501383 (North Carolina)	Secondary
207Q00000X	Family Medicine	2005-01383 (North Carolina)	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 Keith R Bucklen allows following entities to bill medicare on his behalf.

Entity Name	Vohra Wound Physicians Of Ny Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447527320 PECOS PAC ID: 0446410435 Enrollment ID: O20140130001996

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 Keith R Bucklen 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 Keith R Bucklen, MD 338 E Brown St, Southport, NC 28461-3514 Ph: (704) 530-8492	Dr Keith R Bucklen, MD 3601 Sw 160th Ave, Suite 250, Miramar, FL 33027-6308 Ph: (877) 866-7123

Reviews and Comments

Family Medicine Doctors in Miramar, FL

Dr. Toan Huu Le, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 3601 Sw 160th Ave, Ste 250, Miramar, FL 33027 Phone: 877-866-7123
Dr. Teresa M Elliott, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3601 Sw 160th Ave, Suite 250, Miramar, FL 33027 Phone: 877-866-7123
Dr. Aletha Cress Oglesby, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3601 Sw 160th Avenue, Suite 250, Miramar, FL 33024 Phone: 877-866-7123
Andrea C. Dory, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3601 Sw 160th Ave, Suite #250, Miramar, FL 33027 Phone: 305-866-9951 Fax: 877-284-8933
Dr. Liron Beltzer, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3601 Sw 160th Ave, Suite 250, Miramar, FL 33027 Phone: 954-399-4642 Fax: 877-859-8768
Gokhan Guvenli, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12600 Pembroke Rd Ste 100, Miramar, FL 33027 Phone: 954-432-5400 Fax: 877-671-4101
Eleanor Grant Price, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 10910 Pembroke Rd, Miramar, FL 33025 Phone: 954-276-5552 Fax: 954-443-4737

Dr Keith R Bucklen, MD - Medicare Family Medicine in Miramar, FL