Lyndsay Allison Bulger, CRNA, RN is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Dove Canyon, California. Her current practice location is
15 Glen Echo, Dove Canyon, California. You can reach out to her office (for appointments etc.) via phone at
(310) 279-3664.
Lyndsay Allison Bulger is licensed to practice in California (license number 3990) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1255655916.
Provider's Profile
| Full Name | Lyndsay Allison Bulger |
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| Gender | Female |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 15 Glen Echo, Dove Canyon, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1255655916
- Provider Enumeration Date: 03/23/2010
- Last Update Date: 12/14/2021
Medicare PECOS Information:
- PECOS PAC ID: 7719162767
- Enrollment ID: I20110506000323
Medical Identifiers
Medical identifiers for Lyndsay Allison Bulger such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1255655916 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163W00000X | Registered Nurse | 664191 (California) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 3990 (California) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Lyndsay Allison Bulger allows following entities to bill medicare on her behalf.
| Entity Name | Southern California Permanente Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
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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. Lyndsay Allison Bulger 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 |
Lyndsay Allison Bulger, CRNA, RN 22 Indian Pipe, Dove Canyon, CA 92679-4206 Ph: (310) 279-3664 | Lyndsay Allison Bulger, CRNA, RN 15 Glen Echo, Dove Canyon, CA 92679 Ph: (310) 279-3664 |
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