Todd E Bullock (NPI# 1104822360, PAC ID# 4385769462) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1104822360 |
| PAC ID by PECOS | 4385769462 |
| Professional Enrollment ID | I20100913000881 |
| Full Name | Todd E Bullock |
| Organization Legal Name | TWIN LAKES MEDICAL FOUNDATION INC |
| Address |
301 Sunset Dr Caneyville KY 42721-9172 |
| Phone Number | 2708793711 |
| Gender | M |
| Graduation Year | 1995 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3971591850 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180070 | TWIN LAKES REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 301 Sunset Dr, Caneyville, KY 42721-9172 | 2708793711 | TWIN LAKES MEDICAL FOUNDATION INC |
| 1895 Elizabethtown Rd, Leitchfield, KY 42754-9138 | 2702300182 | TWIN LAKES MEDICAL FOUNDATION INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 100% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 91% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 99% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | TWIN LAKES MEDICAL FOUNDATION INC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia G Veyel | Nurse Practitioner | Twin Lakes Medical Foundation Inc | 1895 Elizabethtown Rd, Leitchfield, KY 42754-9138 |
| Luke Portwood Fife | General Surgery | Twin Lakes Medical Foundation Inc | 910 Wallace Ave, Leitchfield, KY 42754-2414 |
| Clinton Kaufman | General Surgery | Twin Lakes Medical Foundation Inc | 910 Wallace Ave, Leitchfield, KY 42754-2414 |
| James S Buck | Obstetrics/gynecology | Twin Lakes Medical Foundation Inc | 910 Wallace Ave, Leitchfield, KY 42754-2414 |
| Kimberly E Gowin | Nurse Practitioner | Twin Lakes Medical Foundation Inc | 910 Wallace Ave, Leitchfield, KY 42754-2414 |
| Robert E Mcclure | Family Medicine | Twin Lakes Medical Foundation Inc | 301 Sunset Dr, Caneyville, KY 42721-9172 |
| Ashley Nicole Flener | Nurse Practitioner | Twin Lakes Medical Foundation Inc | 908 Wallace Ave, Leitchfield, KY 42754-1479 |
| Jamie M Niehaus | Nurse Practitioner | Twin Lakes Medical Foundation Inc | 912 Wallace Ave, Leitchfield, KY 42754-2404 |
| Mark J Lee | Obstetrics/gynecology | Twin Lakes Medical Foundation Inc | 908 Wallace Ave, Leitchfield, KY 42754-1479 |
| Jennifer Nicole Hughes | Nurse Practitioner | Twin Lakes Medical Foundation Inc | 908 Wallace Ave, Leitchfield, KY 42754-1479 |
| Street Address |
301 SUNSET DR |
| City | CANEYVILLE |
| State | KY |
| Zip | 42721-9172 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert E Mcclure | Family Medicine | Twin Lakes Medical Foundation Inc | 301 Sunset Dr, Caneyville, KY 42721-9172 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carlton A Lee | Family Practice | 310 N Main St, Caneyville, KY 42721-9064 |
| City | CANEYVILLE |
| Zip Code | 42721 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CANEYVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Todd E Bullock.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.