Patricia Diane Buckner, EDD is a medicare enrolled "Psychologist - Clinical" provider in Chattonooga, Tennessee. Her current practice location is
6110 Shallowford Rd, Chattonooga, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(800) 632-6074.
Patricia Diane Buckner is licensed to practice in Tennessee (license number P0000001865) 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 1215034764.
Healthcare Provider's Profile
| Full Name | Patricia Diane Buckner |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 6110 Shallowford Rd, Chattonooga, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1215034764
- Provider Enumeration Date: 09/19/2006
- Last Update Date: 02/09/2008
Medicare PECOS Information:
- PECOS PAC ID: 7416141056
- Enrollment ID: I20101028000164
Medical Identifiers
Medical identifiers for Patricia Diane Buckner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215034764 | NPI | - | NPPES |
| 3686238 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | P0000001865 (Tennessee) | 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. Patricia Diane Buckner 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 |
|---|
Patricia Diane Buckner, EDD
7513 Dove Valley Drive,
Nashville, TN 37221-2322
Ph: (615) 662-8986 | Patricia Diane Buckner, EDD
6110 Shallowford Rd,
Chattonooga, TN 37421
Ph: (800) 632-6074 |
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