Dr Christopher J Bullard, MD | |
719 S Main St, Moscow, ID 83843-3041 | |
(208) 883-1152 | |
(208) 882-1486 |
Full Name | Dr Christopher J Bullard |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 7 Years |
Location | 719 S Main St, Moscow, Idaho |
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 |
---|---|---|---|
1306379052 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | M-15235 (Idaho) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Kindred At Home | Liberty lake, WA | Home health agency |
Elite Home Health | Clarkston, WA | Home health agency |
Gritman Medical Center | Moscow, ID | Hospital |
Pullman Regional Hospital | Pullman, WA | Hospital |
Tri-state Memorial Hospital | Clarkston, WA | Hospital |
Good Samaritan Society - Moscow Village | Moscow, ID | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Gritman Medical Center Inc | 4981984390 | 20 |
Gritman Medical Center Inc | 8729070164 | 8 |
Entity Name | Gritman Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619988144 PECOS PAC ID: 8729070164 Enrollment ID: O20040402001021 |
Entity Name | Gritman Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477004828 PECOS PAC ID: 4981984390 Enrollment ID: O20161130002249 |
Mailing Address | Practice Location Address |
---|---|
Dr Christopher J Bullard, MD Po Box 8007, Moscow, ID 83843-0507 Ph: (208) 882-4511 | Dr Christopher J Bullard, MD 719 S Main St, Moscow, ID 83843-3041 Ph: (208) 883-1152 |
Dr. Lesley Anne Cruz Portugal, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 S Main St, Moscow, ID 83843 Phone: 208-882-4511 | |
Robert Neal Spady, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 619 S Washington, Suite 203, Moscow, ID 83843 Phone: 208-892-1346 Fax: 208-892-8306 | |
Dr. Srijana Rai, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 803 S Main St Ste 210, Moscow, ID 83843 Phone: 509-228-1000 Fax: 509-252-9300 | |
Dr. Randall F Kloepfer, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 S Main St, Moscow, ID 83843 Phone: 208-882-4511 | |
Janice Boughton, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 S Main St, Moscow, ID 83843 Phone: 509-334-8567 Fax: 208-883-6551 | |
Dr. Ellenmarie Zwank Brown, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 S Main St, Moscow, ID 83843 Phone: 208-882-4511 Fax: 318-329-4719 |