Cynthia D Bullard, LPC in Pine Bluff, AR - Medicare Counselor Provider

Cynthia D Bullard, LPC is a medicare enrolled "Counselor - Mental Health" provider in Pine Bluff, Arkansas. Her current practice location is 7958 Highway 79 S, Pine Bluff, Arkansas. You can reach out to her office (for appointments etc.) via phone at (870) 489-5454.

Cynthia D Bullard is licensed to practice in Arkansas (license number P2408025) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1972201747.

Contact Information

	Cynthia D Bullard, LPC
	7958 Highway 79 S, Pine Bluff, AR 71603-4541
	(870) 489-5454
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Cynthia D Bullard
Gender	Female
Speciality	Counselor - Mental Health
Location	7958 Highway 79 S, Pine Bluff, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972201747
Provider Enumeration Date: 02/21/2023
Last Update Date: 08/25/2025

Medicare PECOS Information:

PECOS PAC ID: 0749713006
Enrollment ID: I20241025001720

Medical Identifiers

Medical identifiers for Cynthia D Bullard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972201747	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	P2408025 (Arkansas)	Secondary
225C00000X	Rehabilitation Counselor	112061 (Arkansas)	Secondary
101YM0800X	Counselor - Mental Health	P2408025 (Arkansas)	Primary

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. Cynthia D Bullard allows following entities to bill medicare on her behalf.

Entity Name	Cbullard Counseling Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568298446 PECOS PAC ID: 8921531286 Enrollment ID: O20241025001596

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. Cynthia D 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 Address	Practice Location Address
Cynthia D Bullard, LPC Po Box 1251, Pine Bluff, AR 71613-1251 Ph: (870) 489-5454	Cynthia D Bullard, LPC 7958 Highway 79 S, Pine Bluff, AR 71603-4541 Ph: (870) 489-5454

Reviews and Comments

Counselor in Pine Bluff, AR

Willie White Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 620 S Laurel St, Pine Bluff, AR 71601 Phone: 870-534-4900 Fax: 870-534-4906
Kyle Coleman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2500 Rike Dr, Pine Bluff, AR 71603 Phone: 870-534-1834 Fax: 870-534-5798
Nicholas Woodfork, MHPP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2500 Rike Dr, Pine Bluff, AR 71603 Phone: 870-534-1834 Fax: 870-534-5798
Kwaeisi Golliday, Counselor Medicare: Not Enrolled in Medicare Practice Location: 620 S Laurel St, Pine Bluff, AR 71601 Phone: 870-534-4900 Fax: 870-534-4906
Sarah Smith, MHPP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2500 Rike Dr, Pine Bluff, AR 71603 Phone: 870-534-1834 Fax: 870-534-5798
Mrs. Kristin Mccool, BS, MHPP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2500 Rike Dr, Pine Bluff, AR 71603 Phone: 870-534-1834 Fax: 870-534-5798
Ms. Tracy Brashears, BS, MHPP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2500 Rike Dr, Pine Bluff, AR 71603 Phone: 870-534-1834 Fax: 870-534-5798

Cynthia D Bullard, LPC - Medicare Counselor in Pine Bluff, AR