Ryan Douglas Bullock, AUD is a medicare enrolled "Audiologist" provider in San Pedro, California. 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 | |
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| Experience | 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 attended and graduated from in
NPI Data:
- NPI Number: 1184976409
- Provider Enumeration Date: 10/10/2012
- Last Update Date: 09/26/2018
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 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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