| Dr Christopher J Bullard, MD | |
|
719 S Main St, Moscow, ID 83843-3041 | |
| (208) 883-1152 | |
| (208) 882-1486 |
| Full Name | Dr Christopher J Bullard |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 9 Years |
| Location | 719 S Main St, Moscow, Idaho |
| 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 |
|---|---|---|---|
| 1306379052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | M-15235 (Idaho) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kindred At Home | Liberty lake, WA | Home health agency |
| Gritman Medical Center | Moscow, ID | Hospital |
| Pullman Regional Hospital | Pullman, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gritman Medical Center Inc | 4981984390 | 15 |
| Gritman Medical Center Inc | 8729070164 | 9 |
| Entity Name | Gritman Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619988144 PECOS PAC ID: 8729070164 Enrollment ID: O20040402001021 |
| Entity Name | Gritman Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477004828 PECOS PAC ID: 4981984390 Enrollment ID: O20161130002249 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Christopher J Bullard, MD Po Box 8007, Moscow, ID 83843-0507 Ph: (208) 882-4511 | Dr Christopher J Bullard, MD 719 S Main St, Moscow, ID 83843-3041 Ph: (208) 883-1152 |
Dr. Lesley Anne Portugal, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 S Main St, Moscow, ID 83843 Phone: 208-882-4511 | |
Robert Neal Spady, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 619 S Washington, Suite 203, Moscow, ID 83843 Phone: 208-892-1346 Fax: 208-892-8306 | |
Dr. Randall F Kloepfer, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 S Main St, Moscow, ID 83843 Phone: 208-882-4511 | |
Sarah Elizabeth Hall, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 S Main St, Moscow, ID 83843 Phone: 208-882-4511 Fax: 208-883-6580 | |
Janice Boughton, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 S Main St, Moscow, ID 83843 Phone: 509-334-8567 Fax: 208-883-6551 | |
Dr. Ellenmarie Zwank Brown, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 S Main St, Moscow, ID 83843 Phone: 208-882-4511 Fax: 318-329-4719 |