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

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 36 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 NameJohn David Bullock
GenderMale
SpecialityFamily Practice
Experience36 Years
Location1238 Highway 42, Sumrall, Mississippi
Accepts Medicare AssignmentsYes. 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.
IdentifierTypeStateIssuer
1942217757NPI-NPPES
00121120MedicaidMS
1559122OtherMSAMERICAN ADMIN GROUP

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 12095 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Luke Home Health ServicesMccomb, MSHome health agency
Forrest General Home CareHattiesburg, MSHome health agency
Amedisys Home Health Of CollinsCollins, MSHome health agency
Encompass Health-home Health & HospiceHattiesburg, MSHome health agency
Forrest General Home Care And HospiceHattiesburg, MSHospice
Marion General HospitalColumbia, MSHospital
Jefferson Davis General HospitalPrentiss, MSHospital
Forrest General HospitalHattiesburg, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hattiesburg Clinic, Pa5193706794489

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 NameHattiesburg Clinic Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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: Accepting Medicare Assignments
Practice Location: Merit Health Medical Group-sumrall, 4891 Hwy 589, Sumrall, MS 39482
Phone: 601-758-4606    Fax: 601-758-4615
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

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.