Theresa S Buckley, FNP is a
Nurse Practitioner based in Colfax, Wisconsin. Theresa S Buckley is licensed to practice in Wisconsin (license number 2306) and her current practice location is
207 King Olaf Ct, Colfax, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(715) 962-2285.
NPI number for Theresa S Buckley is 1043299209 and her current mailing address is 207 King Olaf Court, Colfax, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043299209.
Provider's Profile
Full Name | Theresa S Buckley |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 207 King Olaf Ct, Colfax, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1043299209
- Provider Enumeration Date: 01/16/2006
- Last Update Date: 07/28/2009
Medical Identifiers
Medical identifiers for Theresa S Buckley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043299209 | NPI | - | NPPES |
41175800 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | 2306 (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. Theresa S 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 |
Theresa S Buckley, FNP 207 King Olaf Court, Colfax, WI 54730 Ph: (715) 962-2285 | Theresa S Buckley, FNP 207 King Olaf Ct, Colfax, WI 54730-9517 Ph: (715) 962-2285 |
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