Alyse Marie Bulleit, CNP | |
22614 State Route 51 W, Genoa, OH 43430-1143 | |
(419) 855-7772 | |
Not Available |
Full Name | Alyse Marie Bulleit |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 22614 State Route 51 W, Genoa, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902586068 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 4704407240 (Michigan) | Secondary |
363LF0000X | Nurse Practitioner - Family | 0033823 (Ohio) | Primary |
Entity Name | Greater Toledo Urgent Cares Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982993010 PECOS PAC ID: 3577749811 Enrollment ID: O20200930003288 |
Entity Name | Gtuc-michigan Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326703208 PECOS PAC ID: 6507256583 Enrollment ID: O20231107001790 |
Mailing Address | Practice Location Address |
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Alyse Marie Bulleit, CNP 1115 Country View Ln Apt 16c, Toledo, OH 43615-8310 Ph: (828) 447-4149 | Alyse Marie Bulleit, CNP 22614 State Route 51 W, Genoa, OH 43430-1143 Ph: (419) 855-7772 |
Mr. James David Mcgaha Jr., FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22614 State Route 51 W, Genoa, OH 43430 Phone: 419-855-7772 | |
Emma Trainer, APRN.CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22614 State Route 51 W, Genoa, OH 43430 Phone: 419-461-9357 |