Penny R Buckland, | |
111 Bever Grade, Lapwai, ID 83540 | |
(208) 843-2271 | |
Not Available |
Full Name | Penny R Buckland |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 111 Bever Grade, Lapwai, Idaho |
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 |
---|---|---|---|
1194129411 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | NP1459A (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ideal Option Pllc | 6709013105 | 107 |
Ideal Option Pllc | 6709013105 | 107 |
Ideal Option Pllc | 6709013105 | 107 |
Ideal Option Pllc | 6709013105 | 107 |
Ideal Option Pllc | 6709013105 | 107 |
Entity Name | Ideal Option Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457788275 PECOS PAC ID: 6709013105 Enrollment ID: O20170112000521 |
Entity Name | Ideal Telemedicine Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346754868 PECOS PAC ID: 2860726221 Enrollment ID: O20190716002529 |
Mailing Address | Practice Location Address |
---|---|
Penny R Buckland, P.o. Box 367, 111 Bever Grade, Lapwai, ID 83540 Ph: () - | Penny R Buckland, 111 Bever Grade, Lapwai, ID 83540 Ph: (208) 843-2271 |
Mrs. Elizabeth Ann Kendrick, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 111 Beaver Rd, Lapwai, ID 83540 Phone: 208-843-2271 Fax: 208-843-2658 | |
Miles Floyd Robinson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 Beaver Grade, Lapwai, ID 83540 Phone: 208-843-2271 Fax: 208-843-7247 |