Mr. William Edward Buckett, PHYSICIANASSISTANT
Mr. William Edward Buckett, PHYSICIANASSISTANT is a Physician Assistant in Centralia, Illinois. Qualified in 2001, 25 years ago. Practices with Physician Services Corporation of Southern Illinois Inc, a 122-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.
- Years since qualifying
- 25
- Licensed in
- NY
- In the registry since
- 2006
Practice location Address checks out
1054 Martin Luther King Dr Ste 124Centralia, IL 62801-3000
Phone: (618) 533-8700
Fax: (618) 533-8701
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 009118 (NY) |
|---|
Record details
| NPI number | 1851481824 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PHYSICIANASSISTANT |
| Sole proprietor | No |
| NPI enumerated | October 13, 2006 |
| Last updated in NPPES | November 12, 2015 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2001 (25 years in practice) |
| Group practice | Physician Services Corporation Of Southern Illinois Inc — 122 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 2 on file with Medicare |