Physician Compare National (NPI:1265500862)

HEALTHCARE PROVIDER: MAY LUZ FALCON BULLECER M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1265500862
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0042120784
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040210000366
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BULLECER
	Individual professional last name
Provider First Name	MAY LUZ
	Individual professional first name
Provider Middle Name	F
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1990
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	ATHENS GERIATRICS AND INTERNAL MEDICINE, PC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	3971601899
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	4
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1500 OGLETHORPE AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 3200
	Group Practice or individual's line 2 address
City	ATHENS
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	306062190
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7065498931
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	110074
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PIEDMONT ATHENS REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	110006
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ST MARY'S HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	110046
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	CLEARVIEW REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y