Jordan Kate Bullard, NP in Beulaville, NC - Medicare Nurse Practitioner

Jordan Kate Bullard, NP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Beulaville, North Carolina. Her current practice location is 119 Crossover Rd, Beulaville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 298-3125.

Jordan Kate Bullard is licensed to practice in North Carolina (license number 5013460) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1245862424.

Contact Information

	Jordan Kate Bullard, NP
	119 Crossover Rd, Beulaville, NC 28518-8801
	(910) 298-3125
	Not Available

Map and Direction

Provider's Profile

Full Name	Jordan Kate Bullard
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	119 Crossover Rd, Beulaville, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245862424
Provider Enumeration Date: 02/06/2020
Last Update Date: 03/02/2022

Medicare PECOS Information:

PECOS PAC ID: 2567889561
Enrollment ID: I20200903003335

Medical Identifiers

Medical identifiers for Jordan Kate Bullard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245862424	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	5013460 (North Carolina)	Primary

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. Jordan Kate Bullard allows following entities to bill medicare on her behalf.

Entity Name	Goshen Medical Center Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023424686 PECOS PAC ID: 3173434479 Enrollment ID: O20040102000726

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. Jordan Kate 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
Jordan Kate Bullard, NP 119 Crossover Rd, Beulaville, NC 28518-8801 Ph: (910) 298-3125	Jordan Kate Bullard, NP 119 Crossover Rd, Beulaville, NC 28518-8801 Ph: (910) 298-3125

Reviews and Comments

Nurse Practitioner Nurses in Beulaville, NC

Mrs. Susan Flowers Frederick, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 152 Crossover Rd, Beulaville, NC 28518 Phone: 910-298-4688 Fax: 910-298-4628
Amanda Register, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 110 E Park Dr, Beulaville, NC 28518 Phone: 910-298-6550
Mrs. Caitlin Maureen Casey, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 119 Crossover Rd, Beulaville, NC 28518 Phone: 312-591-0298
Tina B Kennedy, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 119 Crossover Rd, Beulaville, NC 28518 Phone: 910-298-3125 Fax: 910-298-8101

Jordan Kate Bullard, NP - Medicare Nurse Practitioner in Beulaville, NC