Blake David Bulger, | |
10301 Mayo Dr, Barling, AR 72923-1660 | |
(479) 494-5700 | |
Not Available |
Full Name | Blake David Bulger |
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Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 10301 Mayo Dr, Barling, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861101586 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 226137 (Arkansas) | Primary |
163W00000X | Registered Nurse | 206761 (Oklahoma) | Secondary |
Entity Name | Valley Behavioral Health System Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528325651 PECOS PAC ID: 2365693603 Enrollment ID: O20121127000327 |
Mailing Address | Practice Location Address |
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Blake David Bulger, 10301 Mayo Dr, Barling, AR 72923-1660 Ph: () - | Blake David Bulger, 10301 Mayo Dr, Barling, AR 72923-1660 Ph: (479) 494-5700 |
Tina Marie Gragg, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10301 Mayo Dr, Barling, AR 72923 Phone: 479-494-5700 | |
Brittney Lynn Sims, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1311 Fort St Ste F, Barling, AR 72923 Phone: 816-769-1680 | |
Ashley Nicole Herren, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10301 Mayo Dr, Barling, AR 72923 Phone: 479-494-5700 | |
Tammy Rodgers, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10301 Mayo Dr, Barling, AR 72923 Phone: 479-494-5700 Fax: 479-494-5777 | |
Chandra Mathis, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 Fort St, Barling, AR 72923 Phone: 479-763-1511 Fax: 479-763-1545 | |
Kimberlee Sartain, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 815 Fort St Ste A, Barling, AR 72923 Phone: 479-235-5597 | |
Heather Rae Butler, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7003 Chad Colley Blvd, Barling, AR 72923 Phone: 479-431-3500 Fax: 479-452-2098 |