Micah J Bulloch, LCSW in Cedar City, UT - Medicare Clinical Social Worker Provider

Micah J Bulloch, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Cedar City, Utah. She went to University Of Utah School Of Medicine and graduated in 2018 and has 8 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Roots Counseling And Assessments and her current practice location is 245 E 680 S, Cedar City, Utah. You can reach out to her office (for appointments etc.) via phone at (435) 867-7654.

Micah J Bulloch is licensed to practice in Utah (license number 8765778-3501) 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 1679082952.

Contact Information

	Micah J Bulloch, LCSW
	245 E 680 S, Cedar City, UT 84720-3593
	(435) 867-7654
	(435) 867-7699

Map and Direction

Healthcare Provider's Profile

Full Name	Micah J Bulloch
Gender	Female
Speciality	Clinical Social Worker
Experience	8 Years
Location	245 E 680 S, Cedar City, Utah
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Micah J Bulloch attended and graduated from University Of Utah School Of Medicine in 2018

NPI Data:

NPI Number: 1679082952
Provider Enumeration Date: 09/29/2017
Last Update Date: 04/07/2026

Medicare PECOS Information:

PECOS PAC ID: 7214383298
Enrollment ID: I20231026004269

Medical Identifiers

Medical identifiers for Micah J Bulloch such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679082952	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	107800 (Texas)	Secondary
171M00000X	Case Manager/care Coordinator	(Utah)	Secondary
1041C0700X	Social Worker - Clinical	8371889 (Idaho)	Secondary
1041C0700X	Social Worker - Clinical	8765778-3501 (Utah)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Roots Counseling And Assessments	8224484209	3

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. Micah J Bulloch allows following entities to bill medicare on her behalf.

Entity Name	Roots Counseling And Assessments
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588172068 PECOS PAC ID: 8224484209 Enrollment ID: O20231026004238

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. Micah J Bulloch 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 Address	Practice Location Address
Micah J Bulloch, LCSW 2505 Idlewilde Dr, Midland, TX 79707-6120 Ph: (435) 868-8405	Micah J Bulloch, LCSW 245 E 680 S, Cedar City, UT 84720-3593 Ph: (435) 867-7654

Reviews and Comments

Social Worker in Cedar City, UT

Mrs. Chelsea Gambles, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1760 N Main St Ste 209, Cedar City, UT 84721 Phone: 435-477-2280
Carol Marie Rowley, LCSW, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1870 N Main St Ste 102, Cedar City, UT 84721 Phone: 608-658-8368 Fax: 435-383-5027
Mr. Brent Hinton Judd, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 775 S 1175 W, Cedar City, UT 84720 Phone: 435-586-0535 Fax: 435-586-4914
Miss Heather Ross, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 135 S 2875 W, Cedar City, UT 84720 Phone: 435-704-0034
Nateasa Lynn Mcguire, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2202 N Main St Ste 301, Cedar City, UT 84721 Phone: 319-541-4485
Mr. Delynn T Lamb, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6484 N 2300 W, Cedar City, UT 84721 Phone: 435-867-4876
Mr. Tyson Bruce Terry, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2202 N Main St Ste 301, Cedar City, UT 84720 Phone: 435-586-4479

Micah J Bulloch, LCSW - Medicare Clinical Social Worker in Cedar City, UT