Shay Bullock, NP-C - Medicare Nurse Practitioner in Fort Hall, ID

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Shay Bullock, NP-C is a medicare enrolled "Family Medicine" physician in Fort Hall, Idaho. He graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Not Tsoo Gah Nee Indian Health and his current practice location is 33 N. Mission Rd, Fort Hall, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 380-9727.

Shay Bullock is licensed to practice in Nevada (license number 812099) 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 1366101743.

Contact Information

Shay Bullock, NP-C
33 N. Mission Rd,
Fort Hall, ID 83203
(208) 380-9727
Not Available

Map and Direction




Physician's Profile

Full NameShay Bullock
GenderMale
SpecialityNurse Practitioner
Experience6 Years
Location33 N. Mission Rd, Fort Hall, Idaho
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:
  • Shay Bullock graduated from medical school in 2018
  NPI Data:
  • NPI Number: 1366101743
  • Provider Enumeration Date: 12/13/2021
  • Last Update Date: 07/20/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4587042601
  • Enrollment ID: I20220602000075

Medical Identifiers

Medical identifiers for Shay Bullock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366101743NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 812099 (Nevada)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Portneuf Medical CenterPocatello, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Not Tsoo Gah Nee Indian Health70129365785

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. Shay Bullock allows following entities to bill medicare on his behalf.
Entity NameNot Tsoo Gah Nee Indian Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558441139
PECOS PAC ID: 7012936578
Enrollment ID: O20051115000262

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. Shay 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
Shay Bullock, NP-C
33 N. Mission Rd,
Fort Hall, ID 83203-8016

Ph: () -		Shay Bullock, NP-C
33 N. Mission Rd,
Fort Hall, ID 83203

Ph: (208) 380-9727

Reviews and Comments


Family Medicine Doctors in Fort Hall, ID

Mr. Wiley Drew Petersen, PA-C
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 717 Mission Rd, Fort Hall, ID 83203
Phone: 208-238-5435    Fax: 208-238-5440
Dr. Douglas Lyons, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: Mission Road, Fort Hall, ID 83203
Phone: 208-238-5456    Fax: 208-238-5465
Mr. James Fred Vook, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: Mission Road, Fort Hall, ID 83203
Phone: 208-328-5456    Fax: 208-238-5465

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.