Jean Patrice Buckley, is a
Physician Assistant based in Stevens Pt., Wisconsin. Jean Patrice Buckley is licensed to practice in Wisconsin (license number 964) and her current practice location is
910 Fremont St, Stevens Pt., Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(715) 346-5000.
NPI number for Jean Patrice Buckley is 1861542029 and her current mailing address is 910 Fremont St., Stevens Pt, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861542029.
Provider's Profile
| Full Name | Jean Patrice Buckley |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 910 Fremont St, Stevens Pt., Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1861542029
- Provider Enumeration Date: 01/11/2007
- Last Update Date: 05/20/2013
Medical Identifiers
Medical identifiers for Jean Patrice Buckley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861542029 | NPI | - | NPPES |
| 42966800 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 964 (Wisconsin) | Primary |
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. Jean Patrice Buckley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jean Patrice Buckley,
910 Fremont St.,
Stevens Pt, WI 54481
Ph: (715) 346-4646 | Jean Patrice Buckley,
910 Fremont St,
Stevens Pt., WI 54481
Ph: (715) 346-5000 |
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