Dr Peter Paul Bullock Jr, MD | |
106 S Castlerock Ln, Mustang, OK 73064-4586 | |
(405) 256-0374 | |
Not Available |
Full Name | Dr Peter Paul Bullock Jr |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 17 Years |
Location | 106 S Castlerock Ln, Mustang, Oklahoma |
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 |
---|---|---|---|
1356506935 | NPI | - | NPPES |
25803 | Other | OK | OKLAHOMA MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 25803 (Oklahoma) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medical Resource Management Llc | 4082753918 | 62 |
Entity Name | Tulsa Emergency Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063479087 PECOS PAC ID: 3375442692 Enrollment ID: O20040106000606 |
Entity Name | Medical Resource Management Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104056365 PECOS PAC ID: 4082753918 Enrollment ID: O20100830000840 |
Mailing Address | Practice Location Address |
---|---|
Dr Peter Paul Bullock Jr, MD 106 S Castlerock Ln, Mustang, OK 73064-4586 Ph: (405) 256-0374 | Dr Peter Paul Bullock Jr, MD 106 S Castlerock Ln, Mustang, OK 73064-4586 Ph: (405) 256-0374 |
Ilona Dobrowolska Samara, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 201 S Sara Rd, Suite 200, Mustang, OK 73064 Phone: 405-578-3250 Fax: 405-578-3299 | |
Dr. Richard A Lowrance Iii, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 201 S Sara Rd Ste 200, Mustang, OK 73064 Phone: 405-578-3250 Fax: 405-578-3299 | |
Dr. Miriam Elaine Thompson-mathew, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 S Sara Rd Ste 200, Mustang, OK 73064 Phone: 405-578-3250 Fax: 405-578-3299 | |
Rebecca G. Biorato, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 731 E State Highway 152, Mustang, OK 73064 Phone: 405-256-5011 Fax: 405-256-5074 | |
Leslie Williams, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 S Sara Rd Ste 200, Mustang, OK 73064 Phone: 405-578-3250 Fax: 405-578-3299 | |
Gerald A Amundsen Ii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 206 N Mustang Mall Ter, Mustang, OK 73064 Phone: 405-256-6000 Fax: 405-256-6001 |