Mathew Michael Bull, is a medicare enrolled "Internal Medicine" physician in Peridot, Arizona. He went to University Of Arizona College Of Medicine and graduated in 2018 and has 6 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice San Carlos Apache Healthcare Corporation and his current practice location is
103 Medicine Way Rd, Peridot, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 475-1400.
Mathew Michael Bull is licensed to practice in Arizona (license number R76644) 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 1295223675.
Physician's Profile
| Full Name | Mathew Michael Bull |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 6 Years |
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| Location | 103 Medicine Way Rd, Peridot, Arizona |
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| Accepts Medicare Assignments | Yes. He 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:
- Mathew Michael Bull attended and graduated from University Of Arizona College Of Medicine in 2018
NPI Data:
- NPI Number: 1295223675
- Provider Enumeration Date: 05/01/2018
- Last Update Date: 05/06/2021
Medicare PECOS Information:
- PECOS PAC ID: 5799036695
- Enrollment ID: I20210519000671
Medical Identifiers
Medical identifiers for Mathew Michael Bull such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1295223675 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | R76644 (Arizona) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| San Carlos Apache Healthcare Corporation | 0648580597 | 112 |
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. Mathew Michael Bull allows following entities to bill medicare on his behalf.
| Entity Name | San Carlos Apache Healthcare Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265813075
PECOS PAC ID: 0648580597
Enrollment ID: O20151105002091 |
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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. Mathew Michael Bull 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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Mathew Michael Bull,
1221 E Silvertree Dr,
Tucson, AZ 85718-1079
Ph: (520) 730-5420 | Mathew Michael Bull,
103 Medicine Way Rd,
Peridot, AZ 85542-5000
Ph: (928) 475-1400 |
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