Mr David A Bullock, PT | |
214 Ash St, Grandview, WA 98930-1319 | |
(509) 882-3111 | |
(509) 882-3362 |
Full Name | Mr David A Bullock |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 30 Years |
Location | 214 Ash St, Grandview, Washington |
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 |
---|---|---|---|
1538241542 | NPI | - | NPPES |
7089956 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT00007653 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Columbia Physical Therapy Inc Ps | 6305747643 | 39 |
Provider Name | Columbia Physical Therapy Inc Ps |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1457397531 PECOS PAC ID: 6305747643 Enrollment ID: O20040119000565 |
Mailing Address | Practice Location Address |
---|---|
Mr David A Bullock, PT 7201 W Clearwater Ave, Suite B101, Kennewick, WA 99336-1694 Ph: (509) 544-0265 | Mr David A Bullock, PT 214 Ash St, Grandview, WA 98930-1319 Ph: (509) 882-3111 |
Bryan M Davis, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 214 Ash St, Grandview, WA 98930 Phone: 509-882-3111 Fax: 509-882-3362 | |
Gerald R Poff, M.P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 211 Euclid Rd., Grandview, WA 98930 Phone: 509-882-7888 Fax: 509-882-6588 | |
Casey Marie Redman, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1300 Apricot Rd, Grandview, WA 98930 Phone: 360-631-0627 |