Elizabeth Buck, MD
Individual provider Active NPI Family Medicine Physician · East Wenatchee, WA
NPI 1265054514 · NPPES record last updated Apr 20, 2023
Key facts
- NPI
- 1265054514
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD61341875 (WA)
- Practice address
- 940 Eastmont Ave
East Wenatchee, WA 98802 - Phone
- (509) 884-9000
- NPI assigned
- May 9, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Washington School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Columbia Valley Community Health
Practice addresses (Care Compare)
105 S Apple Blossom Dr
Chelan, WA 98816-8810
Phone (509) 682-6000
Hospital & facility affiliations
- Central Washington Health Services
- Confluence Health Hospital
- Lake Chelan Community Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230718000695 | WA | Practitioner - Family Practice | 6800219205 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chelan County Public Hospital District No 2 | Current |
Accepting new patients | |
| Columbia Valley Community Health | Current |
Accepting new patients | |
| Chelan County Public Hospital District No 2 | Current |
Accepting new patients | |
| Columbia Valley Community Health | Current |
Accepting new patients | |
| Central Washington Health Services Association | Past | Accepting new patients |
Locations
105 S Apple Blossom Dr
Chelan, WA 98816
Phone (509) 682-6000
110 S Apple Blossom Dr
Chelan, WA 98816
Phone (509) 682-3300
900 Eastmont Ave
East Wenatchee, WA 98802
Phone (509) 884-9000
940 Eastmont Ave
East Wenatchee, WA 98802
Phone (509) 884-9000
600 Orondo Ave
Ste 1
Wenatchee, WA 98801
Phone (509) 664-4575
600 Orondo Ave
Wenatchee, WA 98801
Phone (509) 662-3860
Interoperability endpoints
- elizabeth.buck.1@10575.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ML61073964 | WA | |
| Family Medicine Physician | 207Q00000X | MD61341875 | WA | Yes |
Addresses
Primary practice location
940 Eastmont Ave
East Wenatchee, WA 98802
Mailing address
600 Orondo Ave Ste 1
Wenatchee, WA 98801-2800
Other practice location 1
900 Eastmont Ave
East Wenatchee, WA 98802-6602
Phone (509) 884-9000
Other practice location 2
105 S Apple Blossom Dr
Chelan, WA 98816-8810
Phone (509) 682-6000
Other practice location 3
600 Orondo Ave
Wenatchee, WA 98801-2800
Phone (509) 662-6000
NPI Registry JSON
{
"created_epoch": "1588982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681948800000",
"number": "1265054514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 ORONDO AVE STE 1",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988012800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 EASTMONT AVE",
"city": "EAST WENATCHEE",
"state": "WA",
"postal_code": "98802",
"telephone_number": "509-884-9000"
}
],
"practiceLocations": [
{
"address_1": "900 Eastmont Ave",
"address_purpose": "LOCATION",
"city": "East Wenatchee",
"state": "WA",
"postal_code": "988026602",
"country_code": "US",
"telephone_number": "509-884-9000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "105 S Apple Blossom Dr",
"address_purpose": "LOCATION",
"city": "Chelan",
"state": "WA",
"postal_code": "988168810",
"country_code": "US",
"telephone_number": "509-682-6000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "600 Orondo Ave",
"address_purpose": "LOCATION",
"city": "Wenatchee",
"state": "WA",
"postal_code": "988012800",
"country_code": "US",
"telephone_number": "509-662-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUCK",
"first_name": "ELIZABETH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-09",
"last_updated": "2023-04-20",
"certification_date": "2023-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "ML61073964",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD61341875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Wenatchee, WA
- Elizabeth Ariel Brown
- Tristin Ann Brown
- Zachary Scott Brown
- Michael Royce Brunette
- Jacob Bryant
- Patricia Jean Burbank
- James Kelby Burnham
- Melinda Burns
- Malcolm A Butler
- Ronald W Byquist
All providers in East Wenatchee, WA · Family Medicine Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.