| Lance Everett Bullock, | |
|
3136 S Saint Landry Ave, Gonzales, LA 70737-5801 | |
| (225) 647-7524 | |
| Not Available |
| Full Name | Lance Everett Bullock |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 3136 S Saint Landry Ave, Gonzales, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225236235 | NPI | - | NPPES |
| 1683728 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 09761R (Louisiana) | Primary |
| Entity Name | Lance E Bullock, Md, A Professional Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265465397 PECOS PAC ID: 7810893526 Enrollment ID: O20031211000734 |
| Mailing Address | Practice Location Address |
|---|---|
| Lance Everett Bullock, 37459 Ultima Plaza Blvd Ste B-227, Prairieville, LA 70769-3856 Ph: (225) 673-8258 | Lance Everett Bullock, 3136 S Saint Landry Ave, Gonzales, LA 70737-5801 Ph: (225) 647-7524 |
Dr. Amer M. Awad, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2647 S Saint Elizabeth Blvd, Suite 225, Gonzales, LA 70737 Phone: 225-647-8511 Fax: 225-644-4206 | |
Dr. Rodney E Hillis, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2647 S Saint Elizabeth Blvd, Gonzales, LA 70737 Phone: 225-647-8511 Fax: 225-644-5213 | |
Dr. Chris T Trevino, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 41229 Highway 941, Gonzales, LA 70737 Phone: 225-806-3397 Fax: 225-644-1423 | |
David E Post, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1112 E Ascension Complex Blvd, Gonzales, LA 70737 Phone: 225-621-5770 Fax: 225-644-3208 | |
Brian D Monette, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1112 E Ascension Complex Ave., Gonzales, LA 70737 Phone: 225-921-5770 Fax: 225-644-5168 |