| Dr Daniel P Bullock, MD | |
|
203 Old Military Rd, Lake Placid, NY 12946-1738 | |
| (518) 523-1327 | |
| (518) 523-9964 |
| Full Name | Dr Daniel P Bullock |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 22 Years |
| Location | 203 Old Military Rd, Lake Placid, New York |
| 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 |
|---|---|---|---|
| 1366544017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 46697 (Colorado) | Secondary |
| 207X00000X | Orthopaedic Surgery | 252452 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adirondack Medical Center | Saranac lake, NY | Hospital |
| Canton-potsdam Hospital | Potsdam, NY | Hospital |
| Champlain Valley Physicians Hospital Medical Ctr | Plattsburgh, NY | Hospital |
| Elizabethtown Community Hospital | Elizabethtown, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Adirondack Medical Center | 9638081284 | 80 |
| Entity Name | Champlain Valley Physicians Hospital Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124189782 PECOS PAC ID: 2769396878 Enrollment ID: O20031121000623 |
| Entity Name | Lake Placid Sports Medicine Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841371143 PECOS PAC ID: 5698745743 Enrollment ID: O20040727001560 |
| Entity Name | Adirondack Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043091648 PECOS PAC ID: 9638081284 Enrollment ID: O20231206002949 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Daniel P Bullock, MD 203 Old Military Rd, Lake Placid, NY 12946-1738 Ph: (518) 523-1327 | Dr Daniel P Bullock, MD 203 Old Military Rd, Lake Placid, NY 12946-1738 Ph: (518) 523-1327 |
Bradford A Stephens, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 29 Church St, Lake Placid, NY 12946 Phone: 518-523-1327 | |
Eugene Byrne, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 203 Old Military Rd, Lake Placid, NY 12946 Phone: 518-523-1327 Fax: 518-523-9964 | |
William James Smith, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 203 Old Military Rd, Lake Placid, NY 12946 Phone: 518-523-1327 Fax: 518-523-9964 |