DR. NEILLY ANN BUCKALEW M.D.
NPI 1811214786
Physical Medicine & Rehabilitation in Coeur D Alene, ID

Active since April 30, 2010Opted out of Medicare · through Jun 18, 2027
3330 N GRAND MILL LN, COEUR D ALENE, ID 83814(208) 777-5511 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 17, 2023, Jan 3, 2020, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Neilly Ann Buckalew M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NEILLY ANN BUCKALEW M.D. (NPI 1811214786) is an individual physical medicine & rehabilitation provider in Coeur D Alene, Idaho, licensed in North Dakota (15303) and active in the NPI registry since April 2010. She has opted out of Medicare through June 18, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1811214786
Entity TypeIndividualFemale
Primary Taxonomy208100000X
Provider Legal NameDR. NEILLY ANN BUCKALEWCredential: M.D.
Location Address3330 N GRAND MILL LNCoeur D Alene, ID 83814-5689
Mailing Address1869 E Seltice Way #531Post Falls, ID 83854 · (507) 284-2511
Sole ProprietorNo
Enumeration DateApril 30, 2010
Last NPPES UpdateOctober 17, 20234 updates tracked since enumeration
NPPES CertifiedOctober 17, 2023
NPI 1811214786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
Licenses Licensed in ND · 15303 Licensed in PA · MD455877 Licensed in MN · 54367 Licensed in MN · 105626
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License MT197074 (PA)
3330 N GRAND MILL LN, Coeur D Alene, ID 83814

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Neilly Ann Buckalew M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 18, 2019 through June 18, 2027.

Opt-Out Effective DateJune 18, 2019
Opt-Out In Effect ThroughJune 18, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Neilly Buckalew's NPI number?

The NPI number for Neilly Buckalew is 1811214786. It was assigned to this individual provider in the NPPES registry on April 30, 2010.

Where is Neilly Buckalew located?

Neilly Buckalew practices at 3330 N Grand Mill Ln, Coeur D Alene, ID 83814. The listed phone number is (208) 777-5511.

What is Neilly Buckalew's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Neilly Buckalew enrolled in Medicare?

No. Neilly Buckalew has opted out of Medicare through June 18, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Neilly Buckalew was last updated on October 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.