Dr Kimberly Bulava, PSYD is a
Psychologist based in Sturgis, South Dakota. Dr Kimberly Bulava is licensed to practice in Florida (license number PY 9056) and her current practice location is
820 Kinship Rd, Sturgis, South Dakota. She can be reached at her office (for appointments etc.) via phone at
(773) 255-1055.
NPI number for Dr Kimberly Bulava is 1558666578 and her current mailing address is 820 Kinship Rd, Po Box 171, Sturgis, South Dakota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558666578.
Healthcare Provider's Profile
| Full Name | Dr Kimberly Bulava |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist |
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| Location | 820 Kinship Rd, Sturgis, South Dakota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1558666578
- Provider Enumeration Date: 01/23/2011
- Last Update Date: 12/05/2023
Medical Identifiers
Medical identifiers for Dr Kimberly Bulava such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558666578 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | PY9056 (Florida) | Secondary |
| 103T00000X | Psychologist | 071.008005 (Illinois) | Secondary |
| 103TC0700X | Psychologist - Clinical | PY9056 (Florida) | Secondary |
| 103TC0700X | Psychologist - Clinical | 071008005 (Illinois) | Secondary |
| 103TF0200X | Psychologist - Forensic | PY9056 (Florida) | Secondary |
| 103T00000X | Psychologist | PY 9056 (Florida) | Primary |
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. Dr Kimberly Bulava is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Kimberly Bulava, PSYD
820 Kinship Rd, Po Box 171,
Sturgis, SD 57785
Ph: (773) 255-1055 | Dr Kimberly Bulava, PSYD
820 Kinship Rd,
Sturgis, SD 57785-9998
Ph: (773) 255-1055 |
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