Lance Everett Bullock, | |
3136 S Saint Landry Ave, Gonzales, LA 70737-5801 | |
(225) 647-7524 | |
Not Available |
Full Name | Lance Everett Bullock |
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Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 3136 S Saint Landry Ave, Gonzales, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225236235 | NPI | - | NPPES |
1683728 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 09761R (Louisiana) | Primary |
Entity Name | Lance E Bullock, Md, A Professional Medical Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265465397 PECOS PAC ID: 7810893526 Enrollment ID: O20031211000734 |
Mailing Address | Practice Location Address |
---|---|
Lance Everett Bullock, 37459 Ultima Plaza Blvd Ste B-227, Prairieville, LA 70769-3856 Ph: (225) 673-8258 | Lance Everett Bullock, 3136 S Saint Landry Ave, Gonzales, LA 70737-5801 Ph: (225) 647-7524 |
Dr. Amer M. Awad, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2647 S Saint Elizabeth Blvd, Suite 225, Gonzales, LA 70737 Phone: 225-647-8511 Fax: 225-644-4206 | |
Dr. Rodney E Hillis, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2647 S Saint Elizabeth Blvd, Gonzales, LA 70737 Phone: 225-647-8511 Fax: 225-644-5213 | |
Dr. Chris T Trevino, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 41229 Highway 941, Gonzales, LA 70737 Phone: 225-806-3397 Fax: 225-644-1423 | |
David E Post, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1112 E Ascension Complex Blvd, Gonzales, LA 70737 Phone: 225-621-5770 Fax: 225-644-3208 | |
Brian D Monette, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1112 E Ascension Complex Ave., Gonzales, LA 70737 Phone: 225-921-5770 Fax: 225-644-5168 |