Dr Evgeny Bulat, MD, MA is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Jericho, New York. He went to Perelman School Of Med At The University Of Pennsylvania and graduated in 2019 and has 6 years of diverse experience with area of expertise as Pain Management. He is a member of the group practice Pain Doctors Of America Pllc and his current practice location is
350 Jericho Tpke Ste 310, Jericho, New York. You can reach out to his office (for appointments etc.) via phone at
(212) 470-6676.
Dr Evgeny Bulat is licensed to practice in New York (license number 328362-01) 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 1659832509.
Physician's Profile
| Full Name | Dr Evgeny Bulat |
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| Gender | Male |
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| Speciality | Pain Management |
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| Experience | 6 Years |
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| Location | 350 Jericho Tpke Ste 310, Jericho, New York |
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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:
- Dr Evgeny Bulat attended and graduated from Perelman School Of Med At The University Of Pennsylvania in 2019
NPI Data:
- NPI Number: 1659832509
- Provider Enumeration Date: 03/25/2019
- Last Update Date: 02/18/2025
Medicare PECOS Information:
- PECOS PAC ID: 9638407265
- Enrollment ID: I20240805003729
Medical Identifiers
Medical identifiers for Dr Evgeny Bulat such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1659832509 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207LP2900X | Anesthesiology - Pain Medicine | 328362-01 (New York) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 328362-01 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Pain Doctors Of America Pllc | 9830431006 | 6 |
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. Dr Evgeny Bulat allows following entities to bill medicare on his behalf.
| Entity Name | Pain Doctors Of America Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992264469
PECOS PAC ID: 9830431006
Enrollment ID: O20211104002765 |
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| Entity Name | Centurion Midtown Anesthesia Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750087854
PECOS PAC ID: 2567804669
Enrollment ID: O20240521002273 |
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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. Dr Evgeny Bulat 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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Dr Evgeny Bulat, MD, MA
290 Madison Ave Ste 201,
New York, NY 10017-6308
Ph: () - | Dr Evgeny Bulat, MD, MA
350 Jericho Tpke Ste 310,
Jericho, NY 11753-1317
Ph: (212) 470-6676 |
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