| Mr Nicholas Freeman Bullock, | |
|
777 Hospital Way, Pocatello, ID 83201-5175 | |
| (208) 239-1000 | |
| Not Available |
| Full Name | Mr Nicholas Freeman Bullock |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 777 Hospital Way, Pocatello, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508299348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | NP-1308A (Idaho) | Primary |
| 363LX0106X | Nurse Practitioner - Occupational Health | NP-1308A (Idaho) | Secondary |
| Entity Name | American Current Care Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275714677 PECOS PAC ID: 9739260019 Enrollment ID: O20090304000266 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Nicholas Freeman Bullock, 777 Hospital Way, Pocatello, ID 83201-5175 Ph: (208) 239-1000 | Mr Nicholas Freeman Bullock, 777 Hospital Way, Pocatello, ID 83201-5175 Ph: (208) 239-1000 |
Jason Montgomery, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-2580 Fax: 208-239-2580 | |
Kealee Arehart, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 444 Hospital Way Ste 777, Pocatello, ID 83201 Phone: 208-239-1650 | |
Travis Newsom, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-1750 | |
Joshua Simms Pulliam, PNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1151 Hospital Way Bldg F, Pocatello, ID 83201 Phone: 202-232-1443 | |
Dr. Christina Michelle Powers, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 777 Hospital Way Ste 101, Pocatello, ID 83201 Phone: 208-239-3899 Fax: 208-232-2195 | |
Ms. Amie Beth Kenyen, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 444 Hospital Way Ste 607, Pocatello, ID 83201 Phone: 208-589-3844 | |
Chelsey Aslett, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-1000 |