Lauren Marie Bullard, PA-C is a medicare enrolled "Physician Assistant - Medical" physician in Woodhaven, Michigan. She graduated from medical school in 2012 and has 13 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Sami Abbasi Do Pllc and her current practice location is
21401 Allen Rd, Woodhaven, Michigan. You can reach out to her office (for appointments etc.) via phone at
(734) 675-0835.
Lauren Marie Bullard is licensed to practice in Michigan (license number 5601006508) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1720330319.
Physician's Profile
| Full Name | Lauren Marie Bullard |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 13 Years |
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| Location | 21401 Allen Rd, Woodhaven, Michigan |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Lauren Marie Bullard graduated from medical school in 2012
NPI Data:
- NPI Number: 1720330319
- Provider Enumeration Date: 10/08/2012
- Last Update Date: 01/14/2025
Medicare PECOS Information:
- PECOS PAC ID: 8527200989
- Enrollment ID: I20130814000430
Medical Identifiers
Medical identifiers for Lauren Marie Bullard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1720330319 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 5601006508 (Michigan) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 5601006508 (Michigan) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Sami Abbasi Do Pllc | 4688869712 | 6 |
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. Lauren Marie 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 |
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Lauren Marie Bullard, PA-C
26901 Beaumont Blvd Ste 3d,
Southfield, MI 48033-3849
Ph: (947) 522-1863 | Lauren Marie Bullard, PA-C
21401 Allen Rd,
Woodhaven, MI 48183-1665
Ph: (734) 675-0835 |
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