Kathleen M Bullard, MS, LPC, SAC is a medicare enrolled "Counselor" provider in Bristol, Wisconsin. She graduated from healthcare school in 2013 and has 13 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice West Grove Clinic Sc, Richard Kneip Phd Pc and her current practice location is
7918 Fredricksburg Ct Unit 101, Bristol, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(262) 806-1467.
Kathleen M Bullard is licensed to practice in * (Not Available) (license number ) 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 1033550934.
Healthcare Provider's Profile
| Full Name | Kathleen M Bullard |
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| Gender | Female |
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| Speciality | Mental Health Counselor |
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| Experience | 13 Years |
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| Location | 7918 Fredricksburg Ct Unit 101, Bristol, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kathleen M Bullard graduated from medical school in 2013
NPI Data:
- NPI Number: 1033550934
- Provider Enumeration Date: 07/09/2013
- Last Update Date: 02/24/2026
Medicare PECOS Information:
- PECOS PAC ID: 8022530559
- Enrollment ID: I20250313002579
Medical Identifiers
Medical identifiers for Kathleen M Bullard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033550934 | NPI | - | NPPES |
| 1033550934 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1680-130 (Wisconsin) | Secondary |
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| 101YP2500X | Counselor - Professional | 6363-125 (Wisconsin) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| West Grove Clinic Sc | 2264476688 | 13 |
| Richard Kneip Phd Pc | 4880768415 | 216 |
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. Kathleen M Bullard allows following entities to bill medicare on her behalf.
| Entity Name | West Grove Clinic Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518167477
PECOS PAC ID: 2264476688
Enrollment ID: O20050616000721 |
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| Entity Name | Richard Kneip Phd Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679739700
PECOS PAC ID: 4880768415
Enrollment ID: O20220826002066 |
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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. Kathleen M 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 |
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Kathleen M Bullard, MS, LPC, SAC
7918 Fredricksburg Ct Unit 101,
Bristol, WI 53104-8720
Ph: (262) 806-1467 | Kathleen M Bullard, MS, LPC, SAC
7918 Fredricksburg Ct Unit 101,
Bristol, WI 53104-8720
Ph: (262) 806-1467 |
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