Johnny Bullock, MD - Medicare Internal Medicine in Foxworth, MS

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Johnny Bullock, MD is a medicare enrolled "Family Medicine" physician in Foxworth, Mississippi. He went to University Of Mississippi School Of Medicine and graduated in 1993 and has 31 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Walthall General Hospital, Keystone Hospitalist Services Of Ms Inc and his current practice location is 62 Highway 587, Foxworth, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 424-3540.

Johnny Bullock is licensed to practice in Mississippi (license number 13883) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1043268709.

Contact Information

Johnny Bullock, MD
62 Highway 587,
Foxworth, MS 39483-5026
(601) 424-3540
(601) 424-3544

Map and Direction




Physician's Profile

Full NameJohnny Bullock
GenderMale
SpecialityInternal Medicine
Experience31 Years
Location62 Highway 587, Foxworth, Mississippi
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Johnny Bullock attended and graduated from University Of Mississippi School Of Medicine in 1993
  NPI Data:
  • NPI Number: 1043268709
  • Provider Enumeration Date: 05/05/2006
  • Last Update Date: 11/01/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 3971562976
  • Enrollment ID: I20041006000254

Medical Identifiers

Medical identifiers for Johnny Bullock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043268709NPI-NPPES
00737837MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 13883 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Luke Home Health ServicesMccomb, MSHome health agency
Encompass Health-home Health & HospiceHattiesburg, MSHome health agency
Forrest General Home CareHattiesburg, MSHome health agency
Deaconess Homecare- Region 1Laurel, MSHome health agency
Walthall County General Hospital CahTylertown, MSHospital
Southwest Ms Regional Medical CenterMccomb, MSHospital
Forrest General HospitalHattiesburg, MSHospital
Marion General HospitalColumbia, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Walthall General Hospital36787660946
Keystone Hospitalist Services Of Ms Inc751710386422

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Johnny Bullock allows following entities to bill medicare on his behalf.
Entity NameKeystone Medical Services Of Ms Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174691059
PECOS PAC ID: 7618075177
Enrollment ID: O20070606000447
Entity NameThe Clinic At Farmers Medshoppe
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487972568
PECOS PAC ID: 2466584982
Enrollment ID: O20100720000325
Entity NameWalthall General Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245512417
PECOS PAC ID: 3678766094
Enrollment ID: O20111103000238
Entity NameKeystone Hospitalist Services Of Ms Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932447968
PECOS PAC ID: 7517103864
Enrollment ID: O20130411000527
Entity NameMedical Services Of Meridian Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174095988
PECOS PAC ID: 7315285376
Enrollment ID: O20190218000483

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. Johnny Bullock is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Johnny Bullock, MD
Po Box 669,
Foxworth, MS 39483-0669

Ph: (601) 424-3540		Johnny Bullock, MD
62 Highway 587,
Foxworth, MS 39483-5026

Ph: (601) 424-3540

Reviews and Comments


Family Medicine Doctors in Foxworth, MS


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.