Tad Willis Buckingham, OD is a medicare enrolled "Optometrist" provider in Gaston, Oregon. He graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Pacific University, Southeast Alaska Regional Health Consortium and his current practice location is
7615 Sw Speaks Dr, Gaston, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 459-9247.
Tad Willis Buckingham is licensed to practice in Oregon (license number 4022ATI) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1992876056.
Healthcare Provider's Profile
| Full Name | Tad Willis Buckingham |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 30 Years |
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| Location | 7615 Sw Speaks Dr, Gaston, Oregon |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Tad Willis Buckingham graduated from medical school in 1994
NPI Data:
- NPI Number: 1992876056
- Provider Enumeration Date: 11/12/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 7719081421
- Enrollment ID: I20070404000449
Medical Identifiers
Medical identifiers for Tad Willis Buckingham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1992876056 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 4022ATI (Oregon) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Pacific University | 0345144705 | 20 |
| Southeast Alaska Regional Health Consortium | 1456265362 | 263 |
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. Tad Willis Buckingham allows following entities to bill medicare on his behalf.
| Provider Name | Pacific University |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1306954011
PECOS PAC ID: 0345144705
Enrollment ID: O20031126000350 |
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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. Tad Willis Buckingham 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 |
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Tad Willis Buckingham, OD
7615 Sw Speaks Dr,
Gaston, OR 97119-9117
Ph: (503) 459-9247 | Tad Willis Buckingham, OD
7615 Sw Speaks Dr,
Gaston, OR 97119-9117
Ph: (503) 459-9247 |
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