Mrs Virginia Ann Buccola, PMHNP | |
1202 Mlk Jr Way, Tacoma, WA 98405 | |
(253) 441-4743 | |
(253) 620-5831 |
Full Name | Mrs Virginia Ann Buccola |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 12 Years |
Location | 1202 Mlk Jr Way, Tacoma, Washington |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124398482 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN00125750 (Washington) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP60296557 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Community Health Care | 1850201559 | 67 |
Entity Name | Community Health Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790762755 PECOS PAC ID: 1850201559 Enrollment ID: O20040213000045 |
Mailing Address | Practice Location Address |
---|---|
Mrs Virginia Ann Buccola, PMHNP 405 6th Ave, Apt 503, Tacoma, WA 98402 Ph: (253) 620-5015 | Mrs Virginia Ann Buccola, PMHNP 1202 Mlk Jr Way, Tacoma, WA 98405 Ph: (253) 441-4743 |
Salome Odja Dockendorf, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1201 Pacific Ave Ste 19501201, Tacoma, WA 98402 Phone: 812-870-6728 | |
Barbara L Kapuscinski, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-2751 | |
Ms. Christine J. Larsen, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3580 Pacific Ave, Tacoma, WA 98418 Phone: 253-798-4500 Fax: 253-798-4493 | |
Rick Hahn, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 315 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-403-1000 | |
Mrs. Kimberley Anne Burns, APRN,BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1617 S J St, Tacoma, WA 98405 Phone: 253-274-7504 | |
Randi Marie Berg, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9040 Reid St, Tacoma, WA 98431 Phone: 253-968-2315 | |
Marlene I Bridgforth, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1901 S Cedar St, #301 Cardiac Study Center Inc Ps, Tacoma, WA 98405 Phone: 253-572-7320 Fax: 253-627-3191 |