Dr Wm John Bullis, MD is a
Obstetrics & Gynecology - Gynecology physician based in Clyde Hill, Washington. Dr Wm John Bullis is licensed to practice in Washington (license number 60033065) and his current practice location is 8610 Ne 17th St, Clyde Hill, Washington. He can be reached at his office (for appointments etc.) via phone at
(509) 720-0691.
NPI number for Dr Wm John Bullis is 1063473841 and his current mailing address is 8610 Ne 17th St, Clyde Hill, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063473841.
Physician's Profile
| Full Name | Dr Wm John Bullis |
|---|
| Gender | Male |
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| Speciality | Obstetrics & Gynecology - Gynecology |
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| Location | 8610 Ne 17th St, Clyde Hill, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1063473841
- Provider Enumeration Date: 03/31/2006
- Last Update Date: 07/21/2011
Medical Identifiers
Medical identifiers for Dr Wm John Bullis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063473841 | NPI | - | NPPES |
| 86806 | Other | | MEDCOST |
| FH1000860 | Other | | FIRST CAROLINA CARE |
| 8911941 | Medicaid | NC | |
| N0044A | Medicaid | SC | |
| 9663436 | Other | | GHI |
| 160051634 | Other | | MEDICARE RAILROAD |
| 11941 | Other | | BLUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207VG0400X | Obstetrics & Gynecology - Gynecology | 60033065 (Washington) | Primary |
| 207VG0400X | Obstetrics & Gynecology - Gynecology | M-10613 (Idaho) | Secondary |
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 Wm John Bullis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Wm John Bullis, MD
8610 Ne 17th St,
Clyde Hill, WA 98004-3241
Ph: (509) 720-0691 | Dr Wm John Bullis, MD
8610 Ne 17th St,
Clyde Hill, WA 98004-3241
Ph: (509) 720-0691 |
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