Kelly Ann Buckles, MS, SLP in Hudson, WI - Medicare Speech-Language Pathologist Provider

Kelly Ann Buckles, MS, SLP is a medicare enrolled "Speech-language Pathologist" provider in Hudson, Wisconsin. Her current practice location is 742 Sterbenz Dr, Hudson, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 386-2128.

Kelly Ann Buckles is licensed to practice in Wisconsin (license number 3720) 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 1487903126.

Contact Information

	Kelly Ann Buckles, MS, SLP
	742 Sterbenz Dr, Hudson, WI 54016-8327
	(715) 386-2128
	(715) 386-6119

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Ann Buckles
Gender	Female
Speciality	Speech-language Pathologist
Location	742 Sterbenz Dr, Hudson, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487903126
Provider Enumeration Date: 09/07/2012
Last Update Date: 12/18/2012

Medicare PECOS Information:

PECOS PAC ID: 9638306483
Enrollment ID: I20131226000736

Medical Identifiers

Medical identifiers for Kelly Ann Buckles such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487903126	NPI	-	NPPES
3720	Other	WI	STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	3720 (Wisconsin)	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. Kelly Ann Buckles allows following entities to bill medicare on her behalf.

Provider Name	St Croix Therapy Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1669672911 PECOS PAC ID: 8729121413 Enrollment ID: O20100203000334

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. Kelly Ann Buckles 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
Kelly Ann Buckles, MS, SLP 742 Sterbenz Dr, Hudson, WI 54016-8327 Ph: (715) 386-2128	Kelly Ann Buckles, MS, SLP 742 Sterbenz Dr, Hudson, WI 54016-8327 Ph: (715) 386-2128

Reviews and Comments

Speech-Language Pathologist in Hudson, WI

Mrs. Brooke Catherine John, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 742 Sterbenz Dr, Hudson, WI 54016 Phone: 715-386-2128
Casey Nichole Depauw, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1123 Briarwood Ct, Hudson, WI 54016 Phone: 517-212-5814
Mrs. Jeanne Claire Pratt, MST, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2705 Enloe St, Hudson, WI 54016 Phone: 715-386-2128 Fax: 715-386-6119
Susan Bopray, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 742 Sterbenz Dr, Hudson, WI 54016 Phone: 715-386-2128 Fax: 715-386-6119
Stephanie Lynn Laszczkowski, CCC-SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 2705 Enloe St, Hudson, WI 54016 Phone: 715-690-2600
Samantha Johnson, MS, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 2705 Enloe St, Hudson, WI 54016 Phone: 715-690-2600
Dr. Susan L Halseth, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1011 5th St, Hudson, WI 54016 Phone: 715-381-6963

Kelly Ann Buckles, MS, SLP - Medicare Speech-Language Pathologist in Hudson, WI