Jennifer Renae Bullard, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Laurel Hill, North Carolina. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Access Medical Clinic North Carolina Pllc and her current practice location is
18901 Ida Mill Rd, Laurel Hill, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(910) 462-2707.
Jennifer Renae Bullard is licensed to practice in North Carolina (license number 5014203) 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 1659912731.
Provider's Profile
Full Name | Jennifer Renae Bullard |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 3 Years |
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Location | 18901 Ida Mill Rd, Laurel Hill, North Carolina |
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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. |
Medical Education and Training:
- Jennifer Renae Bullard graduated from nursing school in 2021
NPI Data:
- NPI Number: 1659912731
- Provider Enumeration Date: 09/30/2019
- Last Update Date: 01/22/2022
Medicare PECOS Information:
- PECOS PAC ID: 4385078740
- Enrollment ID: I20211111001602
Medical Identifiers
Medical identifiers for Jennifer Renae Bullard such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659912731 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 57779 (Idaho) | Secondary |
363LF0000X | Nurse Practitioner - Family | 5014203 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Access Medical Clinic North Carolina Pllc | 7618360629 | 2 |
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. Jennifer Renae Bullard allows following entities to bill medicare on her behalf.
Entity Name | Access Medical Clinic North Carolina Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1205596962 PECOS PAC ID: 7618360629 Enrollment ID: O20220215000060 |
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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. Jennifer Renae Bullard 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 |
Jennifer Renae Bullard, NP-C 18901 Ida Mill Rd, Laurel Hill, NC 28351-8326 Ph: (910) 462-2707 | Jennifer Renae Bullard, NP-C 18901 Ida Mill Rd, Laurel Hill, NC 28351-8326 Ph: (910) 462-2707 |
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