| Alexander Bull, PA-C | |
|
140 Central Ave, Clark, NJ 07066-1121 | |
| (732) 943-5042 | |
| Not Available |
| Full Name | Alexander Bull |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 140 Central Ave, Clark, New Jersey |
| 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 |
|---|---|---|---|
| 1134676927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 25MP00786900 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Overlook Medical Center | Summit, NJ | Hospital |
| Kessler Rehab Center | West orange, NJ | Inpatient rehabilitation facility |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Practice Associates Medical Group | 5890703177 | 1412 |
| Entity Name | Practice Associates Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427016385 PECOS PAC ID: 5890703177 Enrollment ID: O20060330000690 |
| Mailing Address | Practice Location Address |
|---|---|
| Alexander Bull, PA-C Po Box 416457, Boston, MA 02241-6457 Ph: (844) 362-1735 | Alexander Bull, PA-C 140 Central Ave, Clark, NJ 07066-1121 Ph: (732) 943-5042 |
Grace De La Cruz, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1255 Raritan Rd Ste F4b, Clark, NJ 07066 Phone: 848-206-0072 |
Jalpa Patel, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1075 Central Ave, Clark, NJ 07066 Phone: 732-574-1399 |
Lucy Tasharofi, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1255 Raritan Rd, Clark, NJ 07066 Phone: 848-206-0072 Fax: 848-206-0078 |
Mrs. Inga Bufano, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1075 Central Ave, Clark, NJ 07066 Phone: 732-574-1399 Fax: 732-574-1433 |
Tara Prisco, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 999 Raritan Rd, Clark, NJ 07066 Phone: 732-381-9418 Fax: 732-381-3733 |
Ms. Laura Beth Wagner, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 14 Deerwood Dr, Clark, NJ 07066 Phone: 732-574-2481 |
Mrs. Melissa Petronella, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1255 Raritan Rd Ste F4b, Clark, NJ 07066 Phone: 848-206-0078 Fax: 848-206-0078 |