| Brian Lorin Bullock, CRNA | |
|
415 6th St, Lewiston, ID 83501-2431 | |
| (239) 896-3934 | |
| Not Available |
| Full Name | Brian Lorin Bullock |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 12 Years |
| Location | 415 6th St, Lewiston, Idaho |
| 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 |
|---|---|---|---|
| 1548600745 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| American Fork Hospital | American fork, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nph Anesthesia Of Utah Llc | 9537584313 | 86 |
| Entity Name | Nph Anesthesia Of Utah Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366077273 PECOS PAC ID: 9537584313 Enrollment ID: O20200811001268 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Lorin Bullock, CRNA 1827 Birch Dr, Lewiston, ID 83501-6060 Ph: (239) 896-3934 | Brian Lorin Bullock, CRNA 415 6th St, Lewiston, ID 83501-2431 Ph: (239) 896-3934 |
Kyle James Daly, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-743-2511 | |
Mr. Matthew George Krahn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-743-2511 | |
Carl M Matthews, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-743-2511 | |
Mr. Michael Stormes, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-799-5400 | |
Dustin Lee Elben, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-743-2511 | |
Sarah Nelson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-750-7445 |