Doctor profile · Federal record
Dr. Mary Bucklew, NP
Nurse Practitioner · Jackson, MS
- NPI 1467024901
- Accepts Medicare
- 6 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
1325 E Fortification St
Jackson, MS 392022442
(601) 354-4488
fax (601) 351-5980 - Additional location
-
14724 Highway 15 N
Louisville, MS 393396318
(662) 773-7500 - Mailing address
-
14724 Highway 15 N
Louisville, MS 393396318
Credentials & registration
- NPI registered
- July 2021 — 5 yrs on file
- Profile last updated
- February 5, 2024
- Year of graduation
- 2020 — 6 yrs since
- Specialty taxonomy
- 363L00000X — NUCC code
- State license (1)
- Mississippi #904350
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1467024901. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$18
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Novo Nordisk Inc | 1 | $17.99 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Mary Bucklew's medical specialty?
Dr. Mary Bucklew practices Nurse Practitioner in Jackson, MS.
Where does Dr. Mary Bucklew practice?
Dr. Mary Bucklew practices at 1325 E Fortification St, Jackson, MS 392022442. Office phone: 6013544488.
What is Dr. Mary Bucklew's NPI?
Dr. Mary Bucklew's National Provider Identifier (NPI) is 1467024901, issued by NPPES.
Does Dr. Mary Bucklew accept Medicare assignment?
Yes. Dr. Mary Bucklew accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.