Nyasha Onika Bullock, MD | |
111 S Jefferson St, Ste 150, Casper, WY 82601-2665 | |
(307) 337-1670 | |
Not Available |
Full Name | Nyasha Onika Bullock |
---|---|
Gender | Female |
Speciality | Pathology |
Experience | 21 Years |
Location | 111 S Jefferson St, Casper, Wyoming |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932337631 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZC0500X | Pathology - Cytopathology | 10604A (Wyoming) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 10604A (Wyoming) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Campbell County Health | Gillette, WY | Hospital |
Summit Medical Center | Casper, WY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Professional Pathology Of Wyoming | 5193994770 | 2 |
Entity Name | Professional Pathology Of Wyoming |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801181730 PECOS PAC ID: 5193994770 Enrollment ID: O20110816000873 |
Mailing Address | Practice Location Address |
---|---|
Nyasha Onika Bullock, MD 111 S Jefferson St, Ste 150, Casper, WY 82601-2665 Ph: (307) 337-1670 | Nyasha Onika Bullock, MD 111 S Jefferson St, Ste 150, Casper, WY 82601-2665 Ph: (307) 337-1670 |
Ronald G Stinson, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1233 E 2nd St, Casper, WY 82601 Phone: 307-577-2198 Fax: 307-687-7243 | |
Dr. Elizabeth H Taub, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1233 E 2nd St, Casper, WY 82601 Phone: 800-288-8325 Fax: 419-866-5453 | |
Mrs. Linda Ann Yost, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 3034 Nob Hill Dr, Casper, WY 82601 Phone: 307-237-3761 | |
Anita J Stinson, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1233 E 2nd St, Casper, WY 82601 Phone: 307-577-2198 Fax: 307-687-7243 | |
Lydia R Christiansen, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 111 S Jefferson St Ste 150, Casper, WY 82601 Phone: 307-277-2041 | |
Daniel J Sullivan, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1233 E 2nd St, Casper, WY 82601 Phone: 307-577-2198 Fax: 307-687-7243 |