Provider Demographics
NPI:1114912177
Name:BUCKS ENT ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:BUCKS ENT ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:CHACK
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:267-689-1000
Mailing Address - Street 1:3 CORNERSTONE DR
Mailing Address - Street 2:SUITE 703
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-1320
Mailing Address - Country:US
Mailing Address - Phone:267-689-1000
Mailing Address - Fax:267-689-1008
Practice Address - Street 1:3 CORNERSTONE DR
Practice Address - Street 2:SUITE 703
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1320
Practice Address - Country:US
Practice Address - Phone:267-689-1000
Practice Address - Fax:267-689-1008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-15
Last Update Date:2012-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA207YX0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & NeckGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA730482OtherBLUE SHIELD PA
PA1158976003OtherCIGNA
PA730482OtherPERSONAL CHOICE
PA0603546OtherUSHC
PA0572893000OtherAMERIHEALTH
PA0572893000OtherKHPE
PA=========OtherMULTIPLAN
PA=========OtherTRICARE
PA730482OtherBLUE SHIELD PA
PA=========OtherGUARDIAN
PA730482OtherPERSONAL CHOICE
PA=========OtherFIRST HEALTH
PA=========OtherONE HEALTH PLAN
PA0572893000OtherKHPE
PA1158976003OtherCIGNA
PA=========OtherBLUE SHIELD NJ
PA=========OtherINTERCOUNTY
PA=========OtherHEALTHNET
PA=========OtherFIDELITY PMG NETWORK
PA730482Medicare ID - Type Unspecified