Stacy Lyn Buckingham (NPI# 1922357540, PAC ID# 4688994619) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1922357540 |
| PAC ID by PECOS | 4688994619 |
| Professional Enrollment ID | I20150514002480 |
| Full Name | Stacy Lyn Buckingham |
| Organization Legal Name | RENEWAL CHRISTIAN COUNSELING INC |
| Address |
3847 Pine Grove Ave Fort Gratiot MI 48059-4265 |
| Phone Number | 8109660099 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 5496773863 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3847 Pine Grove Ave, Fort Gratiot, MI 48059-4265 | 8109660099 | RENEWAL CHRISTIAN COUNSELING INC |
| 3847 Pine Grove Ave, Suite B, Fort Gratiot, MI 48059-4265 | 8109660099 | RENEWAL CHRISTIAN COUNSELING INC |
| Organization Legal Name | RENEWAL CHRISTIAN COUNSELING INC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacqueline Gray | Clinical Social Worker | Renewal Christian Counseling Inc | 100 Nb Gratiot Ave, Mount Clemens, MI 48043-2301 |
| Nicole A Ahlschwede | Clinical Social Worker | Renewal Christian Counseling Inc | 5816 Eastman Ave, Midland, MI 48640-6792 |
| Jolene N Pemberton | Clinical Social Worker | Renewal Christian Counseling Inc | 511 Fort St, Rm 505, Port Huron, MI 48060-3936 |
| Denise D Hoffman | Clinical Social Worker | Renewal Christian Counseling Inc | 3525 24th St, Port Huron, MI 48060-6879 |
| Jayme N Ledoux | Clinical Social Worker | Renewal Christian Counseling Inc | 511 Fort St, Rm 505, Port Huron, MI 48060-3936 |
| Necole Nyree Jamison | Clinical Social Worker | Renewal Christian Counseling Inc | 511 Fort St, Rm 505, Port Huron, MI 48060-3936 |
| Janet M Smith | Clinical Social Worker | Renewal Christian Counseling Inc | 100 Nb Gratiot Ave, Mount Clemens, MI 48043-2301 |
| Yvette Rene Caldwell | Clinical Social Worker | Renewal Christian Counseling Inc | 100 Nb Gratiot Ave, Mount Clemens, MI 48043-2301 |
| Pamela J Secondine | Clinical Social Worker | Renewal Christian Counseling Inc | 5816 Eastman Ave, Midland, MI 48640-6792 |
| Michele L Puzzuoli | Clinical Social Worker | Renewal Christian Counseling Inc | 100 Nb Gratiot Ave, Mount Clemens, MI 48043-2301 |
| Street Address |
3847 PINE GROVE AVE |
| City | FORT GRATIOT |
| State | MI |
| Zip | 48059-4265 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Randy J Plonka | Internal Medicine | Mclaren Medical Group | 5979 Lakeshore Rd, Fort Gratiot, MI 48059-2826 |
| Laura Winkelman | Nurse Practitioner | Mclaren Medical Group | 5979 Lakeshore Rd, Fort Gratiot, MI 48059-2826 |
| Heidi M Mccullah | Optometry | 4845 24th Ave, Fort Gratiot, MI 48059-3407 | |
| Hargopal Tekumulla | Physical Therapy | Riverview Physical Therapy and Rehab LLC | 4940 24th Ave, Fort Gratiot, MI 48059-3408 |
| Sushree Tekumulla | Occupational Therapy | Riverview Physical Therapy and Rehab LLC | 4940 24th Ave, Fort Gratiot, MI 48059-3408 |
| Jennifer J Marlin | Physician Assistant | S L Husain Hamzavi Md PC | 2950 Keewahdin Rd, Fort Gratiot, MI 48059-3526 |
| Ashley Carriveau | Physician Assistant | S L Husain Hamzavi Md PC | 2950 Keewahdin Rd, Fort Gratiot, MI 48059-3526 |
| Syed H Hamzavi | Dermatology | S L Husain Hamzavi Md PC | 2950 Keewahdin Rd, Fort Gratiot, MI 48059-3526 |
| Meredith L Price | Dermatology | S L Husain Hamzavi Md PC | 2950 Keewahdin Rd, Fort Gratiot, MI 48059-3526 |
| Tina M Williams | Physician Assistant | S L Husain Hamzavi Md PC | 2950 Keewahdin Rd, Fort Gratiot, MI 48059-3526 |
| Find all physicians in zip 48059 | |||
| City | FORT GRATIOT |
| Zip Code | 48059 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | FORT GRATIOT + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Stacy Lyn Buckingham.
| 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.