Dr Evgeny Bulat, MD, MA is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Jericho, New York. 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 does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. 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 Medicine - Interventional Pain Medicine |
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Location | 350 Jericho Tpke Ste 310, Jericho, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1659832509
- Provider Enumeration Date: 03/25/2019
- Last Update Date: 01/13/2025
Medicare PECOS Information:
- PECOS PAC ID: 9638407265
- Enrollment ID: I20230630001700
Medical Identifiers
Medical identifiers for Dr Evgeny Bulat such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659832509 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207LP2900X | Anesthesiology - Pain Medicine | 328362-01 (New York) | Secondary |
208VP0014X | Pain Medicine - Interventional Pain Medicine | 328362-01 (New York) | Primary |
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 | Brigham & Womens Physicians Organization Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1033535497 PECOS PAC ID: 3870405988 Enrollment ID: O20150107001260 |
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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 |
Dr Evgeny Bulat, MD, MA 2959 Northern Blvd Apt 22b, Long Island City, NY 11101-3646 Ph: () - | Dr Evgeny Bulat, MD, MA 350 Jericho Tpke Ste 310, Jericho, NY 11753-1317 Ph: (212) 470-6676 |
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