Mr Nicholas Freeman Bullock, | |
777 Hospital Way, Pocatello, ID 83201-5175 | |
(208) 239-1000 | |
Not Available |
Full Name | Mr Nicholas Freeman Bullock |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 777 Hospital Way, Pocatello, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508299348 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | NP-1308A (Idaho) | Primary |
363LX0106X | Nurse Practitioner - Occupational Health | NP-1308A (Idaho) | Secondary |
Entity Name | American Current Care Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275714677 PECOS PAC ID: 9739260019 Enrollment ID: O20090304000266 |
Mailing Address | Practice Location Address |
---|---|
Mr Nicholas Freeman Bullock, 777 Hospital Way, Pocatello, ID 83201-5175 Ph: (208) 239-1000 | Mr Nicholas Freeman Bullock, 777 Hospital Way, Pocatello, ID 83201-5175 Ph: (208) 239-1000 |
Jason Montgomery, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-2580 Fax: 208-239-2580 | |
Kealee Arehart, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 444 Hospital Way Ste 777, Pocatello, ID 83201 Phone: 208-239-1650 | |
Travis Newsom, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-1750 | |
Dr. Christina Michelle Powers, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 777 Hospital Way Ste 101, Pocatello, ID 83201 Phone: 208-239-3899 Fax: 208-232-2195 | |
Ms. Amie Beth Kenyen, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 444 Hospital Way Ste 607, Pocatello, ID 83201 Phone: 208-589-3844 | |
Chelsey Aslett, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-1000 | |
Mrs. Codie M Robertson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 Vista Dr, Pocatello, ID 83201 Phone: 208-234-2300 |