Danielle Samone Bullock, MD in Cleveland, OH

Danielle Samone Bullock, MD is a medicare enrolled "Family Medicine" physician in Cleveland, Ohio. Her current practice location is 15105 Saint Clair Ave, Cleveland, Ohio. You can reach out to her office (for appointments etc.) via phone at (216) 800-8020.

Danielle Samone Bullock is licensed to practice in Ohio (license number 35.149097) 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 1598394603.

Contact Information

	Danielle Samone Bullock, MD
	15105 Saint Clair Ave, Cleveland, OH 44110-3719
	(216) 800-8020
	(216) 830-7652

Map and Direction

Physician's Profile

Full Name	Danielle Samone Bullock
Gender	Female
Speciality	Family Medicine
Location	15105 Saint Clair Ave, Cleveland, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598394603
Provider Enumeration Date: 04/02/2020
Last Update Date: 09/05/2023

Medicare PECOS Information:

PECOS PAC ID: 9931522984
Enrollment ID: I20230918001892

Medical Identifiers

Medical identifiers for Danielle Samone Bullock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598394603	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	35.149097 (Ohio)	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. Danielle Samone Bullock allows following entities to bill medicare on her behalf.

Entity Name	Dedicated Ohio Holding Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922631019 PECOS PAC ID: 2769718659 Enrollment ID: O20200508000335

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. Danielle Samone 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 Address	Practice Location Address
Danielle Samone Bullock, MD 15105 Saint Clair Ave, Cleveland, OH 44110-3719 Ph: (216) 800-8020	Danielle Samone Bullock, MD 15105 Saint Clair Ave, Cleveland, OH 44110-3719 Ph: (216) 800-8020

Reviews and Comments

Family Medicine Doctors in Cleveland, OH

Dr. John Michael Surso, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 Metrohealth Dr, Cleveland, OH 44109 Phone: 216-778-7800
Mary Evelyn Massie-story, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 Metrohealth Dr, Cleveland, OH 44109 Phone: 216-778-7800
Mr. Wilfrido Reyes, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3665 W 117th St, Cleveland, OH 44111 Phone: 216-251-5464 Fax: 216-251-5963
Patricia H Moore, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 11100 Euclid Ave, Cleveland, OH 44106 Phone: 216-844-3944 Fax: 216-286-6341
Rochele M Beachy, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4071 Lee Rd, Metrohealth Lee-harvard Health Center, Cleveland, OH 44128 Phone: 216-957-1200
Dr. Ann B Reichsman, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 3569 Ridge Road, Cleveland, OH 44102 Phone: 216-281-0872 Fax: 216-281-9565
Michael Rabovsky, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 800-223-2273

Danielle Samone Bullock, MD - Medicare Family Medicine in Cleveland, OH