| Dr Tracy Elizabeth Bullard, MD | |
|
150 Ivey Lane, Suite B, Pinehurst, NC 28374-9817 | |
| (910) 215-5210 | |
| (910) 215-5215 |
| Full Name | Dr Tracy Elizabeth Bullard |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 24 Years |
| Location | 150 Ivey Lane, Pinehurst, North Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255334736 | NPI | - | NPPES |
| 891368C | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2002-01439 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Firsthealth Moore Regional Hospital | Pinehurst, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fhpg Llc | 9537481569 | 169 |
| Entity Name | Cumberland County Hospital System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881946242 PECOS PAC ID: 1850204041 Enrollment ID: O20031112000693 |
| Entity Name | Cape Fear Valley Health System Specialty Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750616108 PECOS PAC ID: 2567506942 Enrollment ID: O20100223000688 |
| Entity Name | Fhpg Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336154129 PECOS PAC ID: 9537481569 Enrollment ID: O20141202002644 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tracy Elizabeth Bullard, MD 150 Ivey Lane, Suite B, Pinehurst, NC 28374-9817 Ph: (910) 215-5210 | Dr Tracy Elizabeth Bullard, MD 150 Ivey Lane, Suite B, Pinehurst, NC 28374-9817 Ph: (910) 215-5210 |
Victoria Inness, V Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 155 Memorial Drive, Pinehurst, NC 28374 Phone: 910-715-2164 Fax: 910-715-1247 | |
Stephanie Michelle Mccrery, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8 Regional Cir, Pinehurst, NC 28374 Phone: 910-295-5511 | |
Michael Ryan Brackman, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 Page Rd, Pinehurst, NC 28374 Phone: 910-295-5511 Fax: 910-420-1606 | |
Dr. Renan Pierre-louis, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 26 Riviera Dr, Pinehurst, NC 28374 Phone: 910-235-3713 | |
Dr. Matthew T Manzo, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10 Aviemore Drive, Pinehurst, NC 28374 Phone: 910-215-5555 Fax: 910-215-0366 | |
Douglas E Lam, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 10 Aviemore Dr, Pinehurst, NC 28374 Phone: 910-215-5555 Fax: 910-215-0366 |