| Dr Peter Paul Bullock Jr, MD | |
|
12301 S Western Ave, Oklahoma City, OK 73170-6084 | |
| (405) 254-7529 | |
| (405) 254-7587 |
| Full Name | Dr Peter Paul Bullock Jr |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 19 Years |
| Location | 12301 S Western Ave, Oklahoma City, Oklahoma |
| 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 |
|---|---|---|---|
| 1356506935 | NPI | - | NPPES |
| 25803 | Other | OK | OKLAHOMA MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25803 (Oklahoma) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medical Resource Management Llc | 4082753918 | 68 |
| Entity Name | Tulsa Emergency Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063479087 PECOS PAC ID: 3375442692 Enrollment ID: O20040106000606 |
| Entity Name | Medical Resource Management Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104056365 PECOS PAC ID: 4082753918 Enrollment ID: O20100830000840 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Peter Paul Bullock Jr, MD 601 S Harbour Island Blvd Ste 200, Tampa, FL 33602-5925 Ph: (727) 322-3439 | Dr Peter Paul Bullock Jr, MD 12301 S Western Ave, Oklahoma City, OK 73170-6084 Ph: (405) 254-7529 |
Alyssa Penick, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 608 Nw 9th St Ste 1100, Oklahoma City, OK 73102 Phone: 405-231-3000 | |
Dr. Carl Patrick Griffin, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 3555 Nw 58th St, Suite 801, Oklahoma City, OK 73112 Phone: 405-840-7003 Fax: 405-840-8221 | |
Dewey C Scheid, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 900 Ne 10th St, Oklahoma City, OK 73104 Phone: 405-271-4311 Fax: 405-271-2797 | |
Dr. Johnaqa Saidi, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9220 S Pennsylvania Ave Ste A, Oklahoma City, OK 73159 Phone: 405-691-4497 Fax: 405-692-8807 | |
Mrs. Lauren Cathleen Hopkins, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3500 Nw 56th St Ste 100, Oklahoma City, OK 73112 Phone: 405-951-2855 | |
Jennifer Freeman-jobson, APRN, CNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Ne 10th St, Oklahoma City, OK 73104 Phone: 405-271-4385 | |
Whitney Bohannan, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 900 Ne 10th St # 2102, Oklahoma City, OK 73104 Phone: 405-271-2230 |