Mindi Marie Bull, DO is a medicare enrolled "Otolaryngology" physician in Broken Arrow, Oklahoma. She went to Kansas City University Of Physicians And Surgeons and graduated in 2005 and has 19 years of diverse experience with area of expertise as Otolaryngology. She is a member of the group practice St John Physicians Inc and her current practice location is
800 W Boise Cir, Ste 150, Broken Arrow, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(918) 994-9150.
Mindi Marie Bull is licensed to practice in Oklahoma (license number 4384) 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 1891859856.
Physician's Profile
| Full Name | Mindi Marie Bull |
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| Gender | Female |
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| Speciality | Otolaryngology |
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| Experience | 19 Years |
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| Location | 800 W Boise Cir, Broken Arrow, Oklahoma |
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| Accepts Medicare Assignments | Yes. She 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:
- Mindi Marie Bull attended and graduated from Kansas City University Of Physicians And Surgeons in 2005
NPI Data:
- NPI Number: 1891859856
- Provider Enumeration Date: 12/21/2006
- Last Update Date: 10/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 1557543014
- Enrollment ID: I20110304000852
Medical Identifiers
Medical identifiers for Mindi Marie Bull such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891859856 | NPI | - | NPPES |
| 200101160A | Medicaid | OK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | 4384 (Oklahoma) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| St John Physicians Inc | 2567366495 | 223 |
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. Mindi Marie Bull allows following entities to bill medicare on her behalf.
| Entity Name | St John Physicians Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336194406
PECOS PAC ID: 2567366495
Enrollment ID: O20031121000867 |
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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. Mindi Marie 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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Mindi Marie Bull, DO
800 W Boise Cir, Ste 150,
Broken Arrow, OK 74012-4906
Ph: (918) 994-9150 | Mindi Marie Bull, DO
800 W Boise Cir, Ste 150,
Broken Arrow, OK 74012-4906
Ph: (918) 994-9150 |
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