Patricia Diane Buckner, EDD in Chattonooga, TN - Medicare Psychologist Provider

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.

Contact Information

	Patricia Diane Buckner, EDD
	6110 Shallowford Rd, Chattonooga, TN 37421
	(800) 632-6074
	(866) 341-7509

Healthcare Provider's Profile

Full Name	Patricia Diane Buckner
Gender	Female
Speciality	Psychologist - Clinical
Location	6110 Shallowford Rd, Chattonooga, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

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
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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Patricia Diane Buckner, EDD - Medicare Psychologist in Chattonooga, TN