Dr Benjamin Lee Bullock, MD | |
1514 Jefferson Hwy, New Orleans, LA 70121 | |
(504) 842-3460 | |
(504) 842-3468 |
Full Name | Dr Benjamin Lee Bullock |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 8 Years |
Location | 1514 Jefferson Hwy, New Orleans, Louisiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417306952 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | R5704 (Texas) | Secondary |
207P00000X | Emergency Medicine | BP10057575 (Texas) | Secondary |
207P00000X | Emergency Medicine | 312427 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ochsner Clinic Foundation | New orleans, LA | Hospital |
Iberia Medical Center | New iberia, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Main Street Emergency Group Llc | 4880917012 | 28 |
Belle Chasse Emergency Group Llc | 7113140070 | 75 |
Kenner Emergency Group Llc | 8426011230 | 45 |
Entity Name | Ochsner Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538151428 PECOS PAC ID: 8224933619 Enrollment ID: O20031126000513 |
Entity Name | Kenner Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013986546 PECOS PAC ID: 8426011230 Enrollment ID: O20041111000475 |
Entity Name | St. John Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265401509 PECOS PAC ID: 4082641303 Enrollment ID: O20050719000541 |
Entity Name | St Mary Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235108499 PECOS PAC ID: 7810926995 Enrollment ID: O20050809000607 |
Entity Name | Slidell Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295158418 PECOS PAC ID: 1254562663 Enrollment ID: O20140328000931 |
Entity Name | Belle Chasse Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851714075 PECOS PAC ID: 7113140070 Enrollment ID: O20140521001580 |
Entity Name | Main Street Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750796041 PECOS PAC ID: 4880917012 Enrollment ID: O20141219001279 |
Entity Name | Vincent Emergency Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740816917 PECOS PAC ID: 0840621926 Enrollment ID: O20200505000479 |
Mailing Address | Practice Location Address |
---|---|
Dr Benjamin Lee Bullock, MD 1514 Jefferson Hwy, New Orleans, LA 70121-2429 Ph: (504) 842-4000 | Dr Benjamin Lee Bullock, MD 1514 Jefferson Hwy, New Orleans, LA 70121 Ph: (504) 842-3460 |
Ms. Misty T Wetzel, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 963 Taft Pl, New Orleans, LA 70119 Phone: 504-309-4246 | |
Jasmine Sha'dey Holmes, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2000 Canal Street, D&t Bldg., 2nd Floor, Suite 2720, New Orleans, LA 70112 Phone: 504-702-2287 Fax: 504-702-2500 | |
Dr. Susan Diane Taylor, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1401 Foucher St, New Orleans, LA 70115 Phone: 504-897-2850 | |
Lisa Birdsall Fort, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1514 Jefferson Hwy, New Orleans, LA 70121 Phone: 504-842-3460 | |
Ms. Elizabeth Anne Clement, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2020 Gravier St, 7th Floor, New Orleans, LA 70112 Phone: 504-903-3594 | |
Sarah Elizabeth Griffin, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2000 Canal St, New Orleans, LA 70112 Phone: 347-271-0784 | |
Colin Devlin, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5022 Laurel St, New Orleans, LA 70115 Phone: 781-696-2226 |