DR. NEILLY ANN BUCKALEW M.D.
NPI 1811214786
Physical Medicine & Rehabilitation in Coeur D Alene, ID
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
Specialties & Licenses 2
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.
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.