| Mary Bucknam, PA | |
|
1301 Trumansburg Rd, Suite H, Ithaca, NY 14850-1397 | |
| (607) 272-6880 | |
| (607) 272-1436 |
| Full Name | Mary Bucknam |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 1301 Trumansburg Rd, Ithaca, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104906726 | NPI | - | NPPES |
| 02060933 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 0032601 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Bucknam, PA 1301 Trumansburg Rd, Suite H, Ithaca, NY 14850-1397 Ph: (607) 272-6880 | Mary Bucknam, PA 1301 Trumansburg Rd, Suite H, Ithaca, NY 14850-1397 Ph: (607) 272-6880 |
Paul Emerson Jones, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 101 Dates Dr, Ithaca, NY 14850 Phone: 607-274-4011 | |
Ms. Paula Fitzsimmons, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 1020 Craft Rd Ste C, Ithaca, NY 14850 Phone: 607-339-0625 Fax: 607-535-2714 | |
Shanise Thomas, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 16 Brentwood Dr Ste A, Ithaca, NY 14850 Phone: 607-272-7000 | |
Rodger Joseph Lantz, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 101 Dates Dr, Ithaca, NY 14850 Phone: 607-279-0199 | |
Rocco Rosano, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 16 Brentwood Dr, Suite A, Ithaca, NY 14850 Phone: 607-272-7000 | |
Mr. Bryan R Gibb, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 16 Brentwood Dr Ste A, Ithaca, NY 14850 Phone: 607-272-7000 Fax: 607-272-4604 | |
Mahbuba Akter, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 215 E State St, Ithaca, NY 14850 Phone: 607-274-3011 |