Max Blane Bullen, in Montgomery, AL - Medicare Nurse Anesthetist, Certified Registered

Max Blane Bullen, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Montgomery, Alabama. His current practice location is Bapitist Medical Center South,2105 East South Boulevard, Montgomery, Alabama. You can reach out to his office (for appointments etc.) via phone at (334) 288-2100.

Max Blane Bullen is licensed to practice in Alabama (license number 1-054439) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1093852329.

Contact Information

	Max Blane Bullen,
	Bapitist Medical Center South,2105 East South Boulevard, Montgomery, AL 38111-0010
	(334) 288-2100
	Not Available

Map and Direction

Provider's Profile

Full Name	Max Blane Bullen
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	Bapitist Medical Center South,2105 East South Boulevard, Montgomery, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093852329
Provider Enumeration Date: 01/30/2007
Last Update Date: 10/15/2012

Medicare PECOS Information:

PECOS PAC ID: 6507855954
Enrollment ID: I20040510001623

Medical Identifiers

Medical identifiers for Max Blane Bullen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093852329	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	1-054439 (Alabama)	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. Max Blane Bullen allows following entities to bill medicare on his behalf.

Entity Name	University Of Alabama Health Services Foundation, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093768723 PECOS PAC ID: 1951213107 Enrollment ID: O20031105000261

Entity Name	University Of Alabama At Birmingham
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184738478 PECOS PAC ID: 3779487970 Enrollment ID: O20031120000323

Entity Name	Premier Anesthesia Of Montgomery Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780636233 PECOS PAC ID: 5799684148 Enrollment ID: O20040105000491

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. Max Blane Bullen 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
Max Blane Bullen, 144 Canter Way, Alabaster, AL 35007-7610 Ph: (205) 621-5240	Max Blane Bullen, Bapitist Medical Center South,2105 East South Boulevard, Montgomery, AL 38111-0010 Ph: (334) 288-2100

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Montgomery, AL

Mrs. Amanda Marie Haigler, DNP CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1725 Pine St, Montgomery, AL 36106 Phone: 334-293-8000
Crista Wanda Marquardt, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2105 E South Blvd, Montgomery, AL 36116 Phone: 334-288-2100
Andrew Easterling, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1725 Pine St, Montgomery, AL 36106 Phone: 334-279-1450 Fax: 334-395-4115
James Cowell, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1725 Pine St, Montgomery, AL 36106 Phone: 334-293-8000
Thomas H. Booth Ii, C.R.N.A. Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2105 E South Blvd, Montgomery, AL 36116 Phone: 334-386-3579
Susan Hamilton Mitchell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2105 E South Blvd, Montgomery, AL 36116 Phone: 334-288-2100
Breanna Rose Greiving, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2105 E South Blvd, Montgomery, AL 36116 Phone: 334-747-2100

Max Blane Bullen, - Medicare Nurse Anesthetist, Certified Registered in Montgomery, AL