Andrew Brandon Bullington, MD | |
555 E Broadway Ave, Jackson, WY 83001-8640 | |
(307) 733-3900 | |
Not Available |
Full Name | Andrew Brandon Bullington |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 22 Years |
Location | 555 E Broadway Ave, Jackson, Wyoming |
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 |
---|---|---|---|
1700910155 | NPI | - | NPPES |
510-40198 | Other | AL | BCBS - 4300 W MAIN ST; STE 14 |
564805591B | Medicaid | GA | |
510-40197 | Other | AL | BCBS - 1500 ROSS CLARK CIRCLE |
1700910155 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 054468 (Georgia) | Secondary |
207X00000X | Orthopaedic Surgery | MD.28879 (Alabama) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Johns Medical Center | Jackson, WY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Orthopaedics Of Jackson Hole Pc | 9436042322 | 12 |
Entity Name | Orthopaedics Of Jackson Hole Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336221712 PECOS PAC ID: 9436042322 Enrollment ID: O20040204000890 |
Mailing Address | Practice Location Address |
---|---|
Andrew Brandon Bullington, MD 555 E Broadway Ave, Jackson, WY 83001-8640 Ph: (307) 733-3900 | Andrew Brandon Bullington, MD 555 E Broadway Ave, Jackson, WY 83001-8640 Ph: (307) 733-3900 |
Mary C Neal, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 945 W Broadway, Jackson, WY 83001 Phone: 307-734-5999 Fax: 307-734-0345 | |
Dr. Blane A Woodfin, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 555 E Broadway, Jackson, WY 83001 Phone: 307-733-3900 Fax: 307-732-0925 | |
Dr. James R Champa, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 555 E Broadway, Jackson, WY 83001 Phone: 307-733-3900 Fax: 307-732-0925 | |
Joshua D. Beck, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 555 East Broadway, Jackson, WY 83001 Phone: 307-733-3900 Fax: 307-732-0925 | |
Dr. Peter E Rork, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 555 E Broadway, Jackson, WY 83001 Phone: 307-733-3900 Fax: 307-732-0925 | |
Dr. William Lighthart, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 555 E Broadway Ave, Jackson, WY 83001 Phone: 307-733-3900 Fax: 307-732-0925 | |
Christopher Clayton Hills, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 555 E Broadway Ave, Jackson, WY 83001 Phone: 307-733-3900 Fax: 307-732-0925 |