Dr Lisa M Buckloh, PHD in Jacksonville, FL - Medicare Psychologist Provider

Dr Lisa M Buckloh, PHD is a medicare enrolled "Psychologist - Clinical Child & Adolescent" provider in Jacksonville, Florida. Her current practice location is 807 Childrens Way, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 390-3600.

Dr Lisa M Buckloh is licensed to practice in Florida (license number PY6027) 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 1811003734.

Contact Information

	Dr Lisa M Buckloh, PHD
	807 Childrens Way, Jacksonville, FL 32207-8426
	(904) 390-3600
	(904) 390-3512

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Lisa M Buckloh
Gender	Female
Speciality	Psychologist - Clinical Child & Adolescent
Location	807 Childrens Way, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811003734
Provider Enumeration Date: 08/22/2006
Last Update Date: 09/07/2011

Medicare PECOS Information:

PECOS PAC ID: 7416135462
Enrollment ID: I20110622000630

Medical Identifiers

Medical identifiers for Dr Lisa M Buckloh such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811003734	NPI	-	NPPES
000846942A	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC2200X	Psychologist - Clinical Child & Adolescent	PY6027 (Florida)	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. Dr Lisa M Buckloh allows following entities to bill medicare on her behalf.

Entity Name	The Nemours Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386658615 PECOS PAC ID: 9537072483 Enrollment ID: O20040109000252

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. Dr Lisa M Buckloh 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
Dr Lisa M Buckloh, PHD Po Box 191, Provider Enrollment Dept, Rockland, DE 19732-0191 Ph: (302) 651-6212	Dr Lisa M Buckloh, PHD 807 Childrens Way, Jacksonville, FL 32207-8426 Ph: (904) 390-3600

Reviews and Comments

Psychologist in Jacksonville, FL

Dr. Purnima Kumar, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 5251 Emerson St, Jacksonville, FL 32207 Phone: 904-399-0324 Fax: 904-399-0420
Rebecca Marie Tuttle, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1746 Tiffany Pines Cir W, Jacksonville, FL 32225 Phone: 305-586-6044
Dr. Marisa Victoria Byles, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12443 San Jose Blvd Ste 202, Jacksonville, FL 32223 Phone: 904-515-3503
Antionette Jarshawn Miller-maultsby, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4401 Will Scarlet Rd, Jacksonville, FL 32208 Phone: 904-352-0066
Dr. Brittany Cannon, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6816 Southpoint Pkwy Ste 202, Jacksonville, FL 32216 Phone: 904-419-7792
Rachel Suzanne Wasson, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Dr. Tanis Jill Ferman, PH.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000

Dr Lisa M Buckloh, PHD - Medicare Psychologist in Jacksonville, FL