Edwin Bulloch, CRNA | |
150 W 100 N, Vernal, UT 84078-2036 | |
(207) 659-8810 | |
Not Available |
Full Name | Edwin Bulloch |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 18 Years |
Location | 150 W 100 N, Vernal, Utah |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922311133 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | AA103013 (Maine) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 5419392-4406 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Uintah Basin Medical Center | Roosevelt, UT | Hospital |
Eastern Maine Medical Center | Bangor, ME | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Eastern Maine Medical Center | 2062315161 | 588 |
Ubmc Anesthesiology | 4981833381 | 4 |
Entity Name | Eastern Maine Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790789147 PECOS PAC ID: 2062315161 Enrollment ID: O20040128000088 |
Mailing Address | Practice Location Address |
---|---|
Edwin Bulloch, CRNA 827 W 350 S, Vernal, UT 84078-2941 Ph: (207) 659-8810 | Edwin Bulloch, CRNA 150 W 100 N, Vernal, UT 84078-2036 Ph: (207) 659-8810 |
Shane Verl Theobald, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 151 W 200 N, Vernal, UT 84078 Phone: 435-781-1519 Fax: 435-781-1519 | |
Pauline Frome, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3021 E 5000 S, Vernal, UT 84078 Phone: 435-790-1877 | |
Mr. Michael Arthur Hartman, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 151 W 200 N, Vernal, UT 84078 Phone: 435-789-3352 Fax: 435-781-6893 | |
Mr. Dee Lewis Bambrough, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 151 W 200 N, Vernal, UT 84078 Phone: 435-789-3342 Fax: 435-781-6893 | |
Dustin Todd Bradley, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 808 W 300 N, Vernal, UT 84078 Phone: 435-828-2541 |