John David Bullock, MD in Sumrall, MS - Medicare Family Practice

John David Bullock, MD is a medicare enrolled "Family Medicine" physician in Sumrall, Mississippi. He went to University Of Mississippi School Of Medicine and graduated in 1988 and has 38 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Hattiesburg Clinic Pa and his current practice location is 1238 Highway 42, Sumrall, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 758-3100.

John David Bullock is licensed to practice in Mississippi (license number 12095) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1942217757.

Contact Information

	John David Bullock, MD
	1238 Highway 42, Sumrall, MS 39482
	(601) 758-3100
	(601) 758-3008

Map and Direction

Physician's Profile

Full Name	John David Bullock
Gender	Male
Speciality	Family Practice
Experience	38 Years
Location	1238 Highway 42, Sumrall, Mississippi
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

John David Bullock attended and graduated from University Of Mississippi School Of Medicine in 1988

NPI Data:

NPI Number: 1942217757
Provider Enumeration Date: 08/02/2006
Last Update Date: 07/14/2020

Medicare PECOS Information:

PECOS PAC ID: 8325129638
Enrollment ID: I20080112000067

Medical Identifiers

Medical identifiers for John David Bullock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942217757	NPI	-	NPPES
00121120	Medicaid	MS
1559122	Other	MS	AMERICAN ADMIN GROUP

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	12095 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Forrest General Home Care	Hattiesburg, MS	Home health agency
St Luke Home Health Services	Mccomb, MS	Home health agency
Jefferson Davis General Hospital	Prentiss, MS	Hospital
Marion General Hospital	Columbia, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hattiesburg Clinic Pa	5193706794	492

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. John David Bullock allows following entities to bill medicare on his behalf.

Entity Name	Hattiesburg Clinic Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740213446 PECOS PAC ID: 5193706794 Enrollment ID: O20040528000685

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. John David 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
John David Bullock, MD 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 758-3100	John David Bullock, MD 1238 Highway 42, Sumrall, MS 39482 Ph: (601) 758-3100

Reviews and Comments

Family Medicine Doctors in Sumrall, MS

William Walker, MD Family Medicine Medicare: Medicare Enrolled Practice Location: Merit Health Medical Group-sumrall, 4891 Hwy 589, Sumrall, MS 39482 Phone: 601-758-4606 Fax: 601-758-4615
Jamie Goodwin Rawls, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1238 Highway 42, Sumrall, MS 39482 Phone: 601-758-3100 Fax: 601-758-3060
Ginger N Pace-herndon, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1016 Highway 42, Sumrall, MS 39482 Phone: 601-758-4215 Fax: 601-758-0614
Brandon L Coleman, D. O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1016 Highway 42, Sumrall, MS 39482 Phone: 601-758-4214 Fax: 601-758-0614

John David Bullock, MD - Medicare Family Practice in Sumrall, MS