Mrs Tracey Bullard, FNP - Medicare Nurse Practitioner in Oak Grove, KY

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Mrs Tracey Bullard, FNP is a medicare enrolled "Nurse Practitioner - Family" in Oak Grove, Kentucky. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Jennie Stuart Medical Center Inc and her current practice location is 13523 Herndon Oak Grove Rd, Oak Grove, Kentucky. You can reach out to her office (for appointments etc.) via phone at (270) 839-9697.

Mrs Tracey Bullard is licensed to practice in Kentucky (license number 3007747) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1033463880.

Contact Information

Mrs Tracey Bullard, FNP
13523 Herndon Oak Grove Rd,
Oak Grove, KY 42262-9369
(270) 839-9697
Not Available

Map and Direction




Provider's Profile

Full NameMrs Tracey Bullard
GenderFemale
SpecialityNurse Practitioner
Experience12 Years
Location13523 Herndon Oak Grove Rd, Oak Grove, Kentucky
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Tracey Bullard graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1033463880
  • Provider Enumeration Date: 11/01/2012
  • Last Update Date: 12/01/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6204072002
  • Enrollment ID: I20130424000376

Medical Identifiers

Medical identifiers for Mrs Tracey Bullard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033463880NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364SE0003XClinical Nurse Specialist - Emergency 3007747 (Kentucky)Secondary
363LF0000XNurse Practitioner - Family 3007747 (Kentucky)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Jennie Stuart Medical CenterHopkinsville, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Jennie Stuart Medical Center Inc418360725299

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. Mrs Tracey Bullard allows following entities to bill medicare on her behalf.
Entity NameJennie Stuart Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235139312
PECOS PAC ID: 4183607252
Enrollment ID: O20040609001506
Entity NameFairview Physicians Network Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821385329
PECOS PAC ID: 7012187925
Enrollment ID: O20110901000656
Entity NameApp Of Kentucky Ed, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497157341
PECOS PAC ID: 0749502862
Enrollment ID: O20141201000389

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. Mrs Tracey Bullard 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
Mrs Tracey Bullard, FNP
13523 Herndon Oak Grove Rd,
Oak Grove, KY 42262-9369

Ph: (270) 839-9697		Mrs Tracey Bullard, FNP
13523 Herndon Oak Grove Rd,
Oak Grove, KY 42262-9369

Ph: (270) 839-9697

Reviews and Comments


Nurse Practitioner Nurses in Oak Grove, KY

Ms. Jennifer Jean Johnson, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1654 Hugh Hunter Rd #20, Oak Grove, KY 42262
Phone: 601-927-4791    
Amy Burse,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 322 Atlantic Ave, Oak Grove, KY 42262
Phone: 270-348-6288    
Dr. Kimberly Cecil-riddle, DNP, APRN, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2801 Walter Garrett Lane, Oak Grove, KY 42262
Phone: 270-640-5821    Fax: 844-270-5587
Mr. Eddie A Manley, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 175 Stateline Rd, Oak Grove, KY 42262
Phone: 931-302-9564    Fax: 844-750-0655

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.