Alexis Marina Bulcao, AUD is a medicare enrolled "Audiologist" provider in San Bernardino, California. She graduated from medical school in 2020 and has 4 years of diverse experience with area of expertise as Qualified Audiologist. She is a member of the group practice Faculty Physicians And Surgeons Of Llusm and her current practice location is
197 E Caroline St Ste 1100, San Bernardino, California. You can reach out to her office (for appointments etc.) via phone at
(909) 558-2824.
Alexis Marina Bulcao is licensed to practice in California (license number ) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1407464233.
Healthcare Provider's Profile
| Full Name | Alexis Marina Bulcao |
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| Gender | Female |
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| Speciality | Qualified Audiologist |
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| Experience | 4 Years |
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| Location | 197 E Caroline St Ste 1100, San Bernardino, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Alexis Marina Bulcao graduated from medical school in 2020
NPI Data:
- NPI Number: 1407464233
- Provider Enumeration Date: 07/17/2020
- Last Update Date: 12/16/2022
Medicare PECOS Information:
- PECOS PAC ID: 9335568344
- Enrollment ID: I20200924001456
Medical Identifiers
Medical identifiers for Alexis Marina Bulcao such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1407464233 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 231H00000X | Audiologist | (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Faculty Physicians And Surgeons Of Llusm | 1153227814 | 1053 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Alexis Marina Bulcao allows following entities to bill medicare on her behalf.
| Provider Name | Faculty Physicians And Surgeons Of Llusm |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1205009917
PECOS PAC ID: 1153227814
Enrollment ID: O20031211000981 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alexis Marina Bulcao is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Alexis Marina Bulcao, AUD
93 Kansas St Apt 107,
Redlands, CA 92373-1468
Ph: (619) 857-2843 | Alexis Marina Bulcao, AUD
197 E Caroline St Ste 1100,
San Bernardino, CA 92408-3731
Ph: (909) 558-2824 |
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