DR. JUAN CARLOS BULACIO MD - NPI 1952701997 - Psychiatry & Neurology in Cleveland, OH

Q: What is Juan Bulacio's NPI number?

The NPI number for Juan Bulacio is 1952701997. It was assigned to this individual provider in the NPPES registry on August 27, 2014.

Q: What is Juan Bulacio's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Clinical Neurophysiology, with taxonomy code 2084N0600X.

Q: When was this NPI record last updated?

The NPPES record for Juan Bulacio was last updated on August 27, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Juan Carlos Bulacio Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JUAN CARLOS BULACIO MD (NPI 1952701997) is an individual clinical neurophysiology provider in Cleveland, Ohio, licensed in Ohio (80-000023) and active in the NPI registry since August 2014. He is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1952701997

Entity TypeIndividualMale

Primary Taxonomy2084N0600X

Provider Legal NameDR. JUAN CARLOS BULACIOCredential: MD

Location Address9500 EUCLID AVE # S51Cleveland, OH 44195-0001

Mailing Address9500 Euclid Ave # S51Cleveland, OH 44195-0001 · (216) 636-5684 · Fax (216) 444-0343

Phone(216) 636-5684

Fax(216) 444-0343

Sole ProprietorNo

Medical School CMSOtherGraduated 1989

Enumeration DateAugust 27, 2014

✔ NPI 1952701997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Clinical NeurophysiologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0600X

License✔ Licensed in OH · 80-000023

Definition

Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).

9500 EUCLID AVE # S51, Cleveland, OH 44195

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Juan Carlos Bulacio Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375762461

PECOS Enrollment IDI20140923001256

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA ROCHELLE FESLER MD

Psychiatry & Neurology (Neurology)