Ryan Douglas Bullock, AUD is a medicare enrolled "Audiologist" provider in San Pedro, California. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Qualified Audiologist. His current practice location is
1360 W 6th St Ste 243, San Pedro, California. You can reach out to his office (for appointments etc.) via phone at
(424) 570-0117.
Ryan Douglas Bullock is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1184976409.
Healthcare Provider's Profile
| Full Name | Ryan Douglas Bullock |
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| Gender | Male |
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| Speciality | Qualified Audiologist |
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| Experience | 12 Years |
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| Location | 1360 W 6th St Ste 243, San Pedro, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ryan Douglas Bullock graduated from medical school in 2012
NPI Data:
- NPI Number: 1184976409
- Provider Enumeration Date: 10/10/2012
- Last Update Date: 09/26/2018
Medicare PECOS Information:
- PECOS PAC ID: 5799914289
- Enrollment ID: I20140203001038
Medical Identifiers
Medical identifiers for Ryan Douglas Bullock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1184976409 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 231H00000X | Audiologist | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ryan Douglas Bullock allows following entities to bill medicare on his behalf.
| Provider Name | Harbor Hearing Services Professional Corporation |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1568947430
PECOS PAC ID: 7315281110
Enrollment ID: O20181205001831 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ryan Douglas Bullock is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Ryan Douglas Bullock, AUD
600 Monterey Blvd Apt 10,
Hermosa Beach, CA 90254-4583
Ph: (479) 459-2261 | Ryan Douglas Bullock, AUD
1360 W 6th St Ste 243,
San Pedro, CA 90732-3589
Ph: (424) 570-0117 |
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