Dr Timothy C Bullard, MD in Marina Del Rey, CA

Dr Timothy C Bullard, MD is a medicare enrolled "Family Medicine" physician in Marina Del Rey, California. He went to Indiana University School Of Medicine and graduated in 1995 and has 30 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice The Regents Of The University Of California and his current practice location is 4560 Admiralty Way Ste 100, Marina Del Rey, California. You can reach out to his office (for appointments etc.) via phone at (108) 273-7003.

Dr Timothy C Bullard is licensed to practice in California (license number A64738) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1306801766.

Contact Information

	Dr Timothy C Bullard, MD
	4560 Admiralty Way Ste 100, Marina Del Rey, CA 90292-5424
	(108) 273-7003
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Timothy C Bullard
Gender	Male
Speciality	Emergency Medicine
Experience	30 Years
Location	4560 Admiralty Way Ste 100, Marina Del Rey, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Timothy C Bullard attended and graduated from Indiana University School Of Medicine in 1995

NPI Data:

NPI Number: 1306801766
Provider Enumeration Date: 04/19/2006
Last Update Date: 10/07/2021

Medicare PECOS Information:

PECOS PAC ID: 2466491493
Enrollment ID: I20050428001239

Medical Identifiers

Medical identifiers for Dr Timothy C Bullard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306801766	NPI	-	NPPES
00A647380	Medicaid	CA
1306801766	Other	MI	BC BS MI
1306801766	Medicaid	MI
930098046	Other	CA	RAILROAD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	A64738 (California)	Secondary
207P00000X	Emergency Medicine	01051619 (Indiana)	Secondary
207P00000X	Emergency Medicine	4301082809 (Michigan)	Secondary
207Q00000X	Family Medicine	A64738 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Regents Of The University Of California	1355248584	1333

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. Dr Timothy C Bullard allows following entities to bill medicare on his behalf.

Entity Name	Cep America - California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520

Entity Name	The Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235107566 PECOS PAC ID: 1355248584 Enrollment ID: O20031223000439

Entity Name	Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891110888 PECOS PAC ID: 5294958815 Enrollment ID: O20140528001538

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. Dr Timothy C Bullard 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
Dr Timothy C Bullard, MD 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: () -	Dr Timothy C Bullard, MD 4560 Admiralty Way Ste 100, Marina Del Rey, CA 90292-5424 Ph: (108) 273-7003

Reviews and Comments

Family Medicine Doctors in Marina Del Rey, CA

Cathia Vazquez, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4560 Admiralty Way Ste 100, Marina Del Rey, CA 90292 Phone: 310-656-1770 Fax: 310-578-5379
Dr. Brian Antony Boben, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13160 Mindanao Way Ste 301, Marina Del Rey, CA 90292 Phone: 310-301-0230 Fax: 310-301-0233
Dr. Michael Gorniowsky, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 4644 Lincoln Blvd, Suite 428, Marina Del Rey, CA 90292 Phone: 310-306-1888 Fax: 310-577-8290
Edward King, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4560 Admiralty Way Ste 100, Marina Del Rey, CA 90292 Phone: 310-827-3700
Ahmed Ashary, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4560 Admiralty Way Ste 100, Marina Del Rey, CA 90292 Phone: 310-827-3700
Dr. Layla Nina Farrahi, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4560 Admiralty Way Ste 100, Marina Del Rey, CA 90292 Phone: 310-827-3700 Fax: 310-578-5379
Christine Evette Sayegh, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4560 Admiralty Way Ste 100, Marina Del Rey, CA 90292 Phone: 310-827-3700

Dr Timothy C Bullard, MD - Medicare Emergency Medicine in Marina Del Rey, CA