DR. NEILLY ANN BUCKALEW M.D.
NPI 1811214786
Physical Medicine & Rehabilitation in Coeur D Alene, ID
NPI Status: Active since April 30, 2010
Contact Information
3330 N GRAND MILL LN
COEUR D ALENE, ID
ZIP 83814
Phone: (208) 777-5511
- Individual
- Female
- Physical Medicine & Rehabilitation
- PECOS Enrolled
- Opted-Out Medicare
About NEILLY BUCKALEW
This page provides the complete NPI Profile along with additional information for Neilly Buckalew, a provider established in Coeur D Alene, Idaho with a medical specialization in Physical Medicine & Rehabilitation. The healthcare provider is registered in the NPI registry with number 1811214786 assigned on April 2010. The practitioner's primary taxonomy code is 208100000X with license number 15303 (ND). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1811214786
- Provider Name
- DR. NEILLY ANN BUCKALEW M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3330 N GRAND MILL LN COEUR D ALENE, ID 83814
- Location Phone
- (208) 777-5511
- Mailing Address
- 1869 E SELTICE WAY #531 POST FALLS, ID 83854
- Mailing Phone
- (507) 284-2511
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-30-2010
- Last Update Date
- 10-17-2023
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Neilly Buckalew opted out of Medicare effective on 06-18-2019 until 06-18-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Medicine & Rehabilitation
- Taxonomy Code
- 208100000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 15303
- License State
- ND
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208100000X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | MD455877 (PA) |
| 2 | 208100000X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | 54367 (MN) |
| 3 | 208100000X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | 105626 (MN) |
| 4 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program | MT197074 (PA) |
Medicare Participation & PECOS Enrollment Status
Neilly Buckalew is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 06-18-2019
Opt-Out End Date: 06-18-2027
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1811214786, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811214786, enumerated as an "individual" on April 30, 2010.
The provider is located at 3330 N GRAND MILL LN COEUR D ALENE, ID 83814 and the phone number is (208) 777-5511.
Physical Medicine & Rehabilitation with taxonomy code 208100000X.
