Marina Buckley, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD036973E Issued in PA

Practice address

303 W Harford St
Milford, PA 18337-1116

Phone

(570) 296-4000

NPI assigned

Sep 27, 2006

Last updated

May 8, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Dec 2, 2021 through Dec 2, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210204800000",
    "number": "1548351208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 W HARFORD ST",
            "city": "MILFORD",
            "state": "PA",
            "postal_code": "183371116",
            "telephone_number": "570-296-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 W HARFORD ST",
            "city": "MILFORD",
            "state": "PA",
            "postal_code": "183371116",
            "telephone_number": "570-296-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "MARINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2008-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD036973E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSPA",
            "identifier": "002166",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "110043313",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tonya Brace-Revak
• Brandon Oconnor, MD PLLC
• Celia Bravo
• Brezia Healing
• Erin K R Brink, M.A.
• Richard Earl Buckley, M.D.
• Kathleen Grace Burns, M.S. ED/
• Shalini C Byadgi, MD
• Stephen Eric Cahoon, PA-C
• Katharine S Callegari

• Internal Medicine Physician in Milford, PA
• Providers in Milford, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.