Amanda Kay Bullat, RD is a medicare enrolled "Dietitian, Registered" provider in Lake Forest Park, Washington. She graduated from medical school in 2009 and has 17 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. Her current practice location is
18495 Ballinger Way Ne, Lake Forest Park, Washington. You can reach out to her office (for appointments etc.) via phone at
(541) 647-9185.
Amanda Kay Bullat is licensed to practice in Washington (license number DI 60133367) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1417398454.
Healthcare Provider's Profile
| Full Name | Amanda Kay Bullat |
|---|
| Gender | Female |
|---|
| Speciality | Registered Dietitian Or Nutrition Professional |
|---|
| Experience | 17 Years |
|---|
| Location | 18495 Ballinger Way Ne, Lake Forest Park, Washington |
|---|
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Amanda Kay Bullat graduated from medical school in 2009
NPI Data:
- NPI Number: 1417398454
- Provider Enumeration Date: 07/06/2013
- Last Update Date: 07/06/2013
Medicare PECOS Information:
- PECOS PAC ID: 4880128487
- Enrollment ID: I20250508001325
Medical Identifiers
Medical identifiers for Amanda Kay Bullat such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417398454 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | DI 60133367 (Washington) | Primary |
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. Amanda Kay Bullat allows following entities to bill medicare on her behalf.
| Provider Name | Mid-atlantic Womens Care Plc |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1699365072
PECOS PAC ID: 8820998156
Enrollment ID: O20040115000607 |
|---|
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. Amanda Kay Bullat 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 |
|---|
Amanda Kay Bullat, RD
18495 Ballinger Way Ne,
Lake Forest Park, WA 98155-4238
Ph: () - | Amanda Kay Bullat, RD
18495 Ballinger Way Ne,
Lake Forest Park, WA 98155-4238
Ph: (541) 647-9185 |
Reviews and Comments