Jim A Buck, M.D.
Individual provider Active NPI Family Medicine Physician · Fairfield, IA
NPI 1841308533 · NPPES record last updated Jul 22, 2009
Key facts
- NPI
- 1841308533
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 23255 (IA)
- Practice address
- 2000 South Main Street
Ste C
Fairfield, IA 52556-3739 - Phone
- (641) 472-4141
- NPI assigned
- Aug 25, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Minnesota Medical School, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Jefferson County Hospital
Practice addresses (Care Compare)
2000 S Main St
Fairfield, IA 52556-9572
Phone (641) 472-4111
Hospital & facility affiliations
- Jefferson County Health Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- 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 |
|---|---|---|---|---|
| I20100524000458 | IA | Practitioner - Family Practice | 2668501073 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23255 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson County Hospital | Current |
Accepting new patients | |
| Jefferson County Hospital | Current | Accepting new patients | |
| Jefferson County Hospital | Current |
Accepting new patients | |
| Jefferson County Hospital | Past | Accepting new patients |
Locations
2000 S Main St
Ste C
Fairfield, IA 52556
Phone (641) 472-4141
2000 S Main St
Fairfield, IA 52556
Phone (641) 469-4204
2000C S Main St
Fairfield, IA 52556
Phone (515) 472-4141
Interoperability endpoints
- jbuck83767@uihcdirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 23255 | IA | Yes |
Addresses
Primary practice location
2000 South Main Street
Ste C
Fairfield, IA 52556-3739
Mailing address
2000 South Main Street
Ste C
Fairfield, IA 52556-3739
Phone (641) 472-4141
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 198564 | Medicaid | IA |
Other providers in Fairfield, IA
- James Stephen Brooks
- Lacey Kristine Brooks
- Sarah Elizabeth Brooks
- Brown'S Shoe Fit Co
- Taylor Madison Buch
- Brenda Jaia Burton
- Douglas John Buttikofer
- Kristin Nicole Carr
- Michael W. Champ
- Sarah Jo Chaney
All providers in Fairfield, IA · Family Medicine Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2009. 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.