Mr Travis L Bullock, MD in Saint Louis, MO

Mr Travis L Bullock, MD is a medicare enrolled "Urology" physician in Saint Louis, Missouri. He went to Eastern Virginia Medical School and graduated in 2002 and has 22 years of diverse experience with area of expertise as Urology. He is a member of the group practice Urology Of St. Louis, Inc, Urology Of St. Louis, Inc and his current practice location is 12855 N 40 Dr Ste 350, Saint Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at (314) 567-6071.

Mr Travis L Bullock is licensed to practice in Missouri (license number 2007030776) 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 1699810507.

Contact Information

	Mr Travis L Bullock, MD
	12855 N 40 Dr Ste 350, Saint Louis, MO 63141-8669
	(314) 567-6071
	(314) 567-3321

Map and Direction

Physician's Profile

Full Name	Mr Travis L Bullock
Gender	Male
Speciality	Urology
Experience	22 Years
Location	12855 N 40 Dr Ste 350, Saint Louis, Missouri
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:

Mr Travis L Bullock attended and graduated from Eastern Virginia Medical School in 2002

NPI Data:

NPI Number: 1699810507
Provider Enumeration Date: 02/20/2007
Last Update Date: 04/06/2023

Medicare PECOS Information:

PECOS PAC ID: 8325144272
Enrollment ID: I20080115000058

Medical Identifiers

Medical identifiers for Mr Travis L Bullock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699810507	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	2007030776 (Missouri)	Primary
208800000X	Urology	036113441 (Illinois)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Anderson Hospital	Maryville, IL	Hospital
Hshs St Elizabeth's Hospital	O fallon, IL	Hospital
Missouri Baptist Medical Center	Town and country, MO	Hospital
Memorial Hospital	Belleville, IL	Hospital
St Joseph's Hospital	Highland, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Urology Of St. Louis, Inc	6204723786	58
Urology Of St. Louis, Inc	6204723786	58

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. Mr Travis L Bullock allows following entities to bill medicare on his behalf.

Entity Name	Urology Of St. Louis, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528017191 PECOS PAC ID: 6204723786 Enrollment ID: O20050502001141

Entity Name	Heartland Rural Healthcare Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275166134 PECOS PAC ID: 3072513043 Enrollment ID: O20061226000075

Entity Name	Osf Multi-specialty Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279

Entity Name	Ahs Il Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659098101 PECOS PAC ID: 5496111676 Enrollment ID: O20230512001300

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. Mr Travis L 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
Mr Travis L Bullock, MD 12855 N. Forty Dr., Ste 375, St. Louis, MO 63141 Ph: (314) 567-6071	Mr Travis L Bullock, MD 12855 N 40 Dr Ste 350, Saint Louis, MO 63141-8669 Ph: (314) 567-6071

Reviews and Comments

Urology Doctors in Saint Louis, MO

Dr. Charles Phillips Jones, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 4921 Parkview Pl, Div Surg Urology, Ste 11c, Saint Louis, MO 63110 Phone: 314-362-8200 Fax: 314-454-5244
Dr. Carl G Klutke, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1040 N Mason Rd, Ste 122, Saint Louis, MO 63141 Phone: 314-996-8060 Fax: 314-747-4871
Dr. Nitai C Saha, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 533 Couch Ave, Suite 174, Saint Louis, MO 63122 Phone: 314-822-1413 Fax: 314-822-1859
Michael James Glamore, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110 Phone: 314-362-5000
Dr. James Kelly, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3915 Watson Rd Ste 203, Saint Louis, MO 63109 Phone: 314-771-5822 Fax: 314-771-5827
Maung Htein Thu, M.D Urology Medicare: Accepting Medicare Assignments Practice Location: 12700 Southfork Rd Ste 260, Saint Louis, MO 63128 Phone: 314-543-5270
Dr. Zeynep Gul, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 4921 Parkview Pl, Div Surg Urology, Ste 11c, Saint Louis, MO 63110 Phone: 314-362-8200 Fax: 314-454-5244

Mr Travis L Bullock, MD - Medicare Urology in Saint Louis, MO