Martin Edward-john Bukovsky, is a
Psychologist - School based in Yachats, Oregon. Martin Edward-john Bukovsky is licensed to practice in California (license number 190058892) and his current practice location is
155 Ne Wax Myrtle Loop, Yachats, Oregon. He can be reached at his office (for appointments etc.) via phone at
(541) 351-5737.
NPI number for Martin Edward-john Bukovsky is 1467124339 and his current mailing address is Po Box 373, Yachats, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1467124339.
Healthcare Provider's Profile
Full Name | Martin Edward-john Bukovsky |
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Gender | Male |
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Speciality | Psychologist - School |
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Location | 155 Ne Wax Myrtle Loop, Yachats, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1467124339
- Provider Enumeration Date: 09/29/2021
- Last Update Date: 09/29/2021
Medical Identifiers
Medical identifiers for Martin Edward-john Bukovsky such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467124339 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TS0200X | Psychologist - School | 190058892 (California) | 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. Martin Edward-john Bukovsky 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 |
Martin Edward-john Bukovsky, Po Box 373, Yachats, OR 97498-0373 Ph: (541) 351-5737 | Martin Edward-john Bukovsky, 155 Ne Wax Myrtle Loop, Yachats, OR 97498-9427 Ph: (541) 351-5737 |
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