Buckeye Clinic - Medicare Mental Health Clinic in Columbus, OH

Buckeye Clinic is a medicare enrolled mental health clinic (Family Medicine - Addiction Medicine) in Columbus, Ohio. The current practice location for Buckeye Clinic is 3121 W Broad St, Columbus, Ohio. For appointments, you can reach them via phone at (614) 869-2002. The mailing address for Buckeye Clinic is 6805 Avery Muirfield Dr, 103, Dublin, Ohio and phone number is (614) 792-6242.

Buckeye Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1366992893. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (614) 869-2002.

Contact Information

Buckeye Clinic
3121 W Broad St
Columbus
OH 43204-1306
(614) 869-2002
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameBuckeye Clinic
SpecialityFamily Medicine
Location3121 W Broad St, Columbus, Ohio
Authorized Official Name and PositionManoj Sinha (CEO)
Authorized Official Contact6147926242
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Buckeye Clinic
6805 Avery Muirfield Dr
103
Dublin
OH 43016-7180

Ph: (614) 792-6242
Buckeye Clinic
3121 W Broad St
Columbus
OH 43204-1306

Ph: (614) 869-2002

NPI Details:

NPI Number1366992893
Provider Enumeration Date10/07/2016
Last Update Date02/16/2024
Certification Date02/16/2024

Medicare PECOS Information:

Medicare PECOS PAC ID7810237666
Medicare Enrollment IDO20190314001368

Medical Identifiers

Medical identifiers for Buckeye Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366992893NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor (* (Not Available))Secondary
207Q00000XFamily Medicine (* (Not Available))Secondary
207QA0401XFamily Medicine - Addiction Medicine (* (Not Available))Primary
207R00000XInternal Medicine (* (Not Available))Secondary
207RA0401XInternal Medicine - Addiction Medicine (* (Not Available))Secondary
2084P0800XPsychiatry & Neurology - Psychiatry (* (Not Available))Secondary
2084P0802XPsychiatry & Neurology - Addiction Psychiatry (* (Not Available))Secondary
208D00000XGeneral Practice (* (Not Available))Secondary
261QP2300XClinic/center - Primary Care (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Buckeye Clinic acts as a billing entity for following providers:
Provider NameRadhika Gollapudy
Provider TypePractitioner - Addiction Medicine
Provider IdentifiersNPI Number: 1699858316
PECOS PAC ID: 8820074735
Enrollment ID: I20040629001279
Provider NameMatthew Reid Harris
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1134105968
PECOS PAC ID: 5395786230
Enrollment ID: I20050520000271
Provider NameRanjana Sinha
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1730277849
PECOS PAC ID: 0648277160
Enrollment ID: I20111117000788
Provider NameCheryl Cook
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1023228285
PECOS PAC ID: 5193978955
Enrollment ID: I20130228000516
Provider NameCourtney Wilder-whiting
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346600558
PECOS PAC ID: 2163720400
Enrollment ID: I20160419002800
Provider NameChristina Jane Duffey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790296549
PECOS PAC ID: 1456617240
Enrollment ID: I20171110001650
Provider NameRebecca Anne Boyle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316489800
PECOS PAC ID: 8426314121
Enrollment ID: I20171114000891
Provider NameBarbara A. Driscoll
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700340999
PECOS PAC ID: 9931442217
Enrollment ID: I20190530001730
Provider NameRachel Isabella De Lima
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215596788
PECOS PAC ID: 5092159756
Enrollment ID: I20240221001615

Reviews and Comments

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.