Kelsey Bullock, in Loma Linda, CA

Kelsey Bullock, is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Loma Linda, California. She went to Loma Linda University School Of Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Psychiatry. She is a member of the group practice Faculty Physicians And Surgeons Of Llusm and her current practice location is 11234 Anderson St, Loma Linda, California. You can reach out to her office (for appointments etc.) via phone at (909) 558-9532.

Kelsey Bullock is licensed to practice in California (license number A148182) 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 1972981926.

Contact Information

	Kelsey Bullock,
	11234 Anderson St, Loma Linda, CA 92354
	(909) 558-9532
	Not Available

Map and Direction

Physician's Profile

Full Name	Kelsey Bullock
Gender	Female
Speciality	Psychiatry
Experience	9 Years
Location	11234 Anderson St, Loma Linda, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelsey Bullock attended and graduated from Loma Linda University School Of Medicine in 2015

NPI Data:

NPI Number: 1972981926
Provider Enumeration Date: 05/11/2015
Last Update Date: 08/12/2019

Medicare PECOS Information:

PECOS PAC ID: 5395074447
Enrollment ID: I20190916000288

Medical Identifiers

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

Identifier	Type	State	Issuer
1972981926	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	A148182 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Faculty Physicians And Surgeons Of Llusm	1153227814	1053

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. Kelsey Bullock allows following entities to bill medicare on her behalf.

Entity Name	Faculty Physicians And Surgeons Of Llusm
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981

Entity Name	Department Of State Hospitals
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124078704 PECOS PAC ID: 9638174238 Enrollment ID: O20081031000305

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. Kelsey 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
Kelsey Bullock, 11234 Anderson St, Gme Office Westerly Suite C, Loma Linda, CA 92354 Ph: (909) 558-9532	Kelsey Bullock, 11234 Anderson St, Loma Linda, CA 92354 Ph: (909) 558-9532

Reviews and Comments

Psychiatry & Neurology Doctors in Loma Linda, CA

Edward R Verde, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 11374 Mountain View Ave, Suite A, Loma Linda, CA 92354 Phone: 909-558-4505
Dr. Frank Randall, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 11234 Anderson St, House Staff Office Cp21005, Loma Linda, CA 92354 Phone: 818-635-7623
Khashayar Dashtipour, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 11370 Anderson St, Suite 2400, Loma Linda, CA 92354 Phone: 909-558-2880
Shauna Chi-yee Cheung, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 11370 Anderson St Ste B-100, Loma Linda, CA 92354 Phone: 909-558-2880
Austin Sunhway Huh, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-9532
Dr. Carmen Protesta Gonzales-nate, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 11660 Emerald Dr, Loma Linda, CA 92354 Phone: 909-799-6343 Fax: 909-799-6343
Dr. Firas Bannout, M.D Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 11370 Anderson St, Suite B-100, Loma Linda, CA 92354 Phone: 909-558-2880

Kelsey Bullock, - Medicare Psychiatry in Loma Linda, CA