Mrs Elise Anna Buckley, NP is a medicare enrolled "Orthopaedic Surgery" in Boston, Massachusetts. Her current practice location is
300 Longwood Ave, Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(617) 355-6021.
Mrs Elise Anna Buckley is licensed to practice in Massachusetts (license number 235121) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1578506846.
Provider's Profile
| Full Name | Mrs Elise Anna Buckley |
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| Gender | Female |
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| Speciality | Orthopaedic Surgery |
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| Location | 300 Longwood Ave, Boston, Massachusetts |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1578506846
- Provider Enumeration Date: 06/14/2006
- Last Update Date: 09/09/2011
Medicare PECOS Information:
- PECOS PAC ID: 2961423041
- Enrollment ID: I20081031000137
Medical Identifiers
Medical identifiers for Mrs Elise Anna Buckley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1578506846 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0200X | Nurse Practitioner - Pediatrics | 002924 (Connecticut) | Secondary |
| 207X00000X | Orthopaedic Surgery | 235121 (Massachusetts) | 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. Mrs Elise Anna Buckley allows following entities to bill medicare on her behalf.
| Entity Name | Children's Orthopaedic Surgery Foundation Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548344393
PECOS PAC ID: 2365424876
Enrollment ID: O20040607000823 |
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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. Mrs Elise Anna Buckley 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 |
|---|
Mrs Elise Anna Buckley, NP
300 Longwood Ave,
Boston, MA 02115
Ph: (617) 355-6021 | Mrs Elise Anna Buckley, NP
300 Longwood Ave,
Boston, MA 02115
Ph: (617) 355-6021 |
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