Billy Ansel Buckelew
MAGNOLIA MEDICAL CLINIC P.A.


Address: 131 Magnolia Ave Se, Fort Walton, FL 32548-7266
Phone: 8502437681

Billy Ansel Buckelew (NPI# 1275645384, PAC ID# 3476690520) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.

Physician Overview

Nation Provider ID (NPI) 1275645384
PAC ID by PECOS 3476690520
Professional Enrollment ID I20091023000185
Full Name Billy Ansel Buckelew
Organization Legal Name MAGNOLIA MEDICAL CLINIC P.A.
Address 131 Magnolia Ave Se
Fort Walton
FL 32548-7266
Phone Number 8502437681
Gender M
Medical School UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduation Year 1965
Primary Specialty FAMILY PRACTICE
Group Practice PAC ID 8325185473
Number of Group Practice Members 7
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
100223 FORT WALTON BEACH MEDICAL CENTER

Other Locations

Address Phone Organization
131 Magnolia Ave Se, Fort Walton, FL 32548-7266 8502437681 MAGNOLIA MEDICAL CLINIC P.A.

Organization Information

Organization Legal Name MAGNOLIA MEDICAL CLINIC P.A.
Physicians 9

Physicians with the same organization

Name Specialty Organization Address
John D Sites Family Medicine Magnolia Medical Clinic P.a. 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170
Teresa Marie Skojac Family Medicine Magnolia Medical Clinic P.a. 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170
Peter Kerr Senechal Family Medicine Magnolia Medical Clinic P.a. 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170
Chris George Pappas Family Medicine Magnolia Medical Clinic P.a. 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170
Christopher P Paulson Family Medicine Magnolia Medical Clinic P.a. 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170
Susan T Ott Nurse Practitioner Magnolia Medical Clinic P.a. 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170
Brandy Marie Lackey Nurse Practitioner Magnolia Medical Clinic P.a. 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170
Grant Eugene Zachary Family Medicine Magnolia Medical Clinic P.a. 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170

Office Location

Street Address 131 MAGNOLIA AVE SE
City FORT WALTON
State FL
Zip 32548-7266

Physicians in the same zip code

Name Specialty Organization Address
Crystal A Bonanni Physician Assistant All Seasons Allergy and Asthma Center, P.a. 362 Beal Pkwy Nw, Suite 105, Fort Walton Beach, FL 32548-3926
Justin P Clark Allergy/immunology All Seasons Allergy and Asthma Center, P.a. 362 Beal Pkwy Nw, Suite 105, Fort Walton Beach, FL 32548-3926
Narendra K Gowda Internal Medicine 514 Mary Esther Cutoff Nw, Fort Walton Beach, FL 32548-4025
Kaitlin J Weeks Physician Assistant Quality Urgent Care and Wellness Pl 514 Mary Esther Cut Off Nw, Fort Walton Beach, FL 32548-4047
Kena M Troupe Nurse Practitioner Quality Urgent Care and Wellness Pl 514 Mary Esther Cut Off Nw, Fort Walton Beach, FL 32548-4047
Stephanie Hengle Nurse Practitioner Quality Urgent Care and Wellness Pl 514 Mary Esther Cut Off Nw, Fort Walton Beach, FL 32548-4047
Brittany P Brock Physician Assistant Quality Urgent Care and Wellness Pl 514 Mary Esther Cut Off Nw, Fort Walton Beach, FL 32548-4047
Judy S Cavazos Physician Assistant Quality Urgent Care and Wellness Pl 514 Mary Esther Cut Off Nw, Fort Walton Beach, FL 32548-4047
Jasmine Ts Pang Family Practice Quality Urgent Care and Wellness Pl 514 Mary Esther Cut Off Nw, Fort Walton Beach, FL 32548-4047
Christopher S Lawton Diagnostic Radiology Radiology Regional Center Professional Services LLC 220 Fliva Ave Nw, Fort Walton Beach, FL 32548-4257
Find all physicians in zip 32548

Competitor

Search similar physicians

City FORT WALTON
Zip Code 32548
Specialty FAMILY PRACTICE
City + Specialty FORT WALTON + FAMILY PRACTICE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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