| Buckingham And Associates Pc | |
|
8202 Clearvista Pkwy Suite 6a Indianapolis IN 46256-1400 | |
| (317) 288-9942 | |
| (317) 288-9945 |
| Full Name | Buckingham And Associates Pc |
|---|---|
| Speciality | Counselor |
| Location | 8202 Clearvista Pkwy, Indianapolis, Indiana |
| Authorized Official Name and Position | David Marsh Buckingham (OWNER) |
| Authorized Official Contact | 3172889942 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Buckingham And Associates Pc 8202 Clearvista Pkwy Ste 7 Indianapolis IN 46256-1400 Ph: (317) 288-9942 | Buckingham And Associates Pc 8202 Clearvista Pkwy Suite 6a Indianapolis IN 46256-1400 Ph: (317) 288-9942 |
| NPI Number | 1588617138 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 04/24/2024 |
| Certification Date | 04/24/2024 |
| Medicare PECOS PAC ID | 9739241720 |
|---|---|
| Medicare Enrollment ID | O20100918000160 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588617138 | NPI | - | NPPES |
| 200121170 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 57000069A (Indiana) | Primary |
| Provider Name | Joanna S Peterson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508035098 PECOS PAC ID: 6002992708 Enrollment ID: I20080320000400 |
| Provider Name | Melissa Jane Truax |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457465387 PECOS PAC ID: 4183755028 Enrollment ID: I20100622000115 |
| Provider Name | David David Buckingham |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811996945 PECOS PAC ID: 4486779196 Enrollment ID: I20100928000635 |
| Provider Name | Mark L Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851389910 PECOS PAC ID: 7517151319 Enrollment ID: I20101104001208 |
| Provider Name | Gary D Nunnally |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205810090 PECOS PAC ID: 8224048764 Enrollment ID: I20120103000183 |
| Provider Name | Greg P Edie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235505942 PECOS PAC ID: 6507172723 Enrollment ID: I20150903000116 |
| Provider Name | Mary Houghton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376110536 PECOS PAC ID: 5193125771 Enrollment ID: I20210618001341 |
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