Lauren Marie Bullard, PA-C is a medicare enrolled "Physician Assistant - Medical" physician in Woodhaven, Michigan. Her current practice location is
21401 Allen Rd, Woodhaven, Michigan. You can reach out to her office (for appointments etc.) via phone at
(734) 675-0835.
Lauren Marie Bullard is licensed to practice in Michigan (license number 5601006508) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1720330319.
Physician's Profile
Full Name | Lauren Marie Bullard |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 21401 Allen Rd, Woodhaven, Michigan |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Lauren Marie Bullard attended and graduated from in
NPI Data:
- NPI Number: 1720330319
- Provider Enumeration Date: 10/08/2012
- Last Update Date: 01/14/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Lauren Marie Bullard such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720330319 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 5601006508 (Michigan) | Secondary |
363AM0700X | Physician Assistant - Medical | 5601006508 (Michigan) | Primary |
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. Lauren Marie Bullard 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 |
Lauren Marie Bullard, PA-C 26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849 Ph: (947) 522-1863 | Lauren Marie Bullard, PA-C 21401 Allen Rd, Woodhaven, MI 48183-1665 Ph: (734) 675-0835 |
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