Meredith Buck

Key facts

NPI

1649775149

Entity type

Individual (NPI type 1)

Primary specialty

Family Medicine Physician 207Q00000X

License

4301505081 (MI)

Practice address

1414 W Fair Ave
Marquette, MI 49855-2675

Phone

(906) 449-1010

NPI assigned

Mar 27, 2018

Sex

Female

Sole proprietor

No

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• DLP Marquette Physician Practices Inc Obesity Medicine (Internal Medicine) Physician · Marquette, MI · NPI 1487902995
  Medicare reassignment Care Compare group NPD FAMILY MEDICINE · MI
• DLP Marquette Physician Practices Inc Rural Health Clinic/Center · Marquette, MI · NPI 1205635760
  Care Compare group NPD
• DLP Marquette Physician Practices Inc Rural Health Clinic/Center · Escanaba, MI · NPI 1679372130
  Care Compare group
• DLP Marquette Physician Practices Inc Counselor · Marquette, MI · NPI 1730437245
  Care Compare group
• DLP Marquette General Hospital LLC General Acute Care Hospital · Marquette, MI · NPI 1568727048
  NPD (past)
• DLP Marquette Physician Practices Inc Emergency Medicine Physician · Marquette, MI · NPI 1366790727
  NPD (past)
• Mayo Clinic Health System-Northwest Wisconsin Region, Inc. Critical Access Hospital · Barron, WI · NPI 1740239557
  NPD (past)

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Acquisition Bell Hospital LLC Critical Access Hospital · Ishpeming, MI · NPI 1699101345
  Care Compare affiliation Hospital
• DLP Marquette General Hospital LLC General Acute Care Hospital · Marquette, MI · NPI 1568727048
  Care Compare affiliation Hospital
• Nyfries, Inc Home Health Agency · Marquette, MI · NPI 1891793162
  Care Compare affiliation Home health agency

Medicare Care Compare profile

Specialty

Family Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DLP Marquette Physician Practices Inc (193 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Upper Peninsula Home Health & Hospice Home health agency · Marquette, MI · CCN 237187
• Uphs Marquette DLP Hospital Hospital · Marquette, MI · CCN 230054
• Bell Hospital Hospital · Ishpeming, MI · CCN 231321

Medicare participation

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: meredith.buck.1@8233.direct.athenahealth.com

Specialties & licenses

Addresses

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 20, 2021.

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1649775149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 W FAIR AVE STE 36",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498552675",
            "telephone_number": "715-838-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 W FAIR AVE",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498552675",
            "telephone_number": "906-449-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCK",
        "first_name": "MEREDITH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-27",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "71740",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "71740-20",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301505081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "meredith.buck@mghs.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1414 W Fair Ave",
            "city": "Marquette",
            "state": "MI",
            "country_code": "US",
            "postal_code": "498552675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marquette, MI

• Lawryn Brown
• Shawn Elizabeth-Bott Brown, M.D.
• Bruce J. Pavlov, DDS
• Sarah Marie Bruce
• Seth Bruce, DPT
• Austyn Elizabeth Buckley
• Larry Buege, P.A.
• Carol Buentello, NNP-BC
• Candace Marie Buikema
• Patrick P Bulinski, M.D.

All providers in Marquette, MI · Family Medicine Physician in Michigan