Lesli Bullock, in Oklahoma City, OK - Medicare Nurse Practitioner

Lesli Bullock, is a medicare enrolled "Nurse Practitioner" in Oklahoma City, Oklahoma. Her current practice location is 14100 Parkway Commons Dr Ste 201, Oklahoma City, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (405) 749-2765.

Lesli Bullock is licensed to practice in Oklahoma (license number 119449) 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 1568604197.

Contact Information

	Lesli Bullock,
	14100 Parkway Commons Dr Ste 201, Oklahoma City, OK 73134-6104
	(405) 749-2765
	(405) 749-6209

Map and Direction

Provider's Profile

Full Name	Lesli Bullock
Gender	Female
Speciality	Nurse Practitioner
Location	14100 Parkway Commons Dr Ste 201, Oklahoma City, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568604197
Provider Enumeration Date: 03/27/2009
Last Update Date: 01/26/2023

Medicare PECOS Information:

PECOS PAC ID: 6305991639
Enrollment ID: I20160125000669

Medical Identifiers

Medical identifiers for Lesli Bullock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568604197	NPI	-	NPPES
1568604197	Medicaid	OK
112840	Medicaid	AL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	119449 (Oklahoma)	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. Lesli Bullock allows following entities to bill medicare on her behalf.

Entity Name	Jack E. Marshall M.d. Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568701332 PECOS PAC ID: 6901044346 Enrollment ID: O20130524000470

Entity Name	Orthopedic Spine Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568934859 PECOS PAC ID: 9931448008 Enrollment ID: O20190307000847

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. Lesli 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
Lesli Bullock, 14100 Parkway Commons Dr Ste 201, Oklahoma City, OK 73134-6104 Ph: (405) 749-2765	Lesli Bullock, 14100 Parkway Commons Dr Ste 201, Oklahoma City, OK 73134-6104 Ph: (405) 749-2765

Reviews and Comments

Nurse Practitioner Nurses in Oklahoma City, OK

Ann R Benson, BSN, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Ne 10th St, Oklahoma City, OK 73117 Phone: 405-271-4476 Fax: 405-271-9202
Mrs. Judy Kay Kellogg, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1025 Straka Ter, Oklahoma City, OK 73139 Phone: 405-632-6688 Fax: 405-604-0708
Mrs. Darbi Lynne Williams, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4050 W Memorial Rd, Oklahoma City, OK 73120 Phone: 405-608-3800 Fax: 405-608-3838
Tammy Ann Harrelson, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14000 N Portland Ave, Suite 201, Oklahoma City, OK 73134 Phone: 405-606-2727 Fax: 405-606-7040
Liji Seilas, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1901 Springlake Dr, Oklahoma City, OK 73111 Phone: 405-521-8486 Fax: 405-521-8496
Mrs. Rachel Leigh Cross, APRN, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1200 Childrens Ave, Suite 10000, Oklahoma City, OK 73104 Phone: 405-271-4412
Gretchen Fatherree, APRN, CNP-NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1200 Everett Dr, Etnp 7504, Oklahoma City, OK 73104 Phone: 405-271-5215

Lesli Bullock, - Medicare Nurse Practitioner in Oklahoma City, OK