| Jason Pulnik, | |
|
2722 Osler Blvd, Bryan, TX 77802-2517 | |
| (979) 776-8291 | |
| Not Available |
| Full Name | Jason Pulnik |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 23 Years |
| Location | 2722 Osler Blvd, Bryan, Texas |
| 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 |
|---|---|---|---|
| 1598971913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085D0003X | Radiology - Diagnostic Neuroimaging | N1081 (Texas) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 2005-00588 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joseph Regional Health Center | Bryan, TX | Hospital |
| Aspire Behavioral Health Of Conroe, Llc | Conroe, TX | Hospital |
| Columbus Community Hospital | Columbus, TX | Hospital |
| Physicians Centre,the | Bryan, TX | Hospital |
| Lake Health | Concord, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Hospitals Medical Group Inc | 4789682493 | 1735 |
| Bryan Radiology Associates | 4880598143 | 11 |
| Columbus Radiology Corp | 6507754983 | 255 |
| Roper Radiologists Pa | 6800700162 | 34 |
| University Hospitals Medical Group Inc | 4789682493 | 1735 |
| Entity Name | Bryan Radiology Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992731178 PECOS PAC ID: 4880598143 Enrollment ID: O20031120000105 |
| Entity Name | Columbus Radiology Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669408159 PECOS PAC ID: 6507754983 Enrollment ID: O20190108000527 |
| Entity Name | University Hospitals Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20210528002130 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Pulnik, 2722 Osler Blvd, Bryan, TX 77802-2517 Ph: (979) 776-8291 | Jason Pulnik, 2722 Osler Blvd, Bryan, TX 77802-2517 Ph: (979) 776-8291 |
Ronald R Eikenhorst, MD Radiology Medicare: Medicare Enrolled Practice Location: 2722 Osler Blvd, Bryan, TX 77802 Phone: 979-776-8291 Fax: 979-774-7871 | |
Scott Douglas Goble, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2215 E Villa Maria Rd, #130, Bryan, TX 77802 Phone: 979-774-0808 Fax: 979-776-3028 | |
Dr. John William Ufema, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2505 East Villa Maria Road, #204, Bryan, TX 77802 Phone: 979-690-6869 | |
Kenneth R Close, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2722 Osler Blvd, Bryan, TX 77802 Phone: 979-776-8291 Fax: 979-774-7871 | |
Dr. Alvin Lee Schlichtemeier, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2215 E Villa Maria Rd, Suite 130, Bryan, TX 77802 Phone: 979-774-0808 Fax: 979-776-3028 | |
Charles B Thomason, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2722 Osler Blvd, Bryan, TX 77802 Phone: 979-776-8291 Fax: 979-774-7871 |