Marcelle Bullard, PA - Medicare Physician Assistant in New Berlin, WI

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Marcelle Bullard, PA is a medicare enrolled "Physician Assistant" in New Berlin, Wisconsin. Her current practice location is 14555 W National Ave, New Berlin, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 827-3636.

Marcelle Bullard is licensed to practice in Wisconsin (license number 3485-023) 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 1184722001.

Contact Information

Marcelle Bullard, PA
14555 W National Ave,
New Berlin, WI 53151-4494
(262) 827-3636
Not Available

Map and Direction




Provider's Profile

Full NameMarcelle Bullard
GenderFemale
SpecialityPhysician Assistant
Location14555 W National Ave, New Berlin, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1184722001
  • Provider Enumeration Date: 09/21/2006
  • Last Update Date: 11/29/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2062419005
  • Enrollment ID: I20150506000014

Medical Identifiers

Medical identifiers for Marcelle Bullard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184722001NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical 085-002401 (Illinois)Secondary
363A00000XPhysician Assistant 3485-023 (Wisconsin)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. Marcelle Bullard allows following entities to bill medicare on her behalf.
Entity NameAurora Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725
Entity NameLakeshore Medical Clinic LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003861188
PECOS PAC ID: 7719890730
Enrollment ID: O20031106000481
Entity NameAurora Advanced Healthcare, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265629133
PECOS PAC ID: 3375625833
Enrollment ID: O20080123000694

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. Marcelle 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 AddressPractice Location Address
Marcelle Bullard, PA
3301 W Forest Home Ave,
Milwaukee, WI 53215-2843

Ph: (143) 892-3774		Marcelle Bullard, PA
14555 W National Ave,
New Berlin, WI 53151-4494

Ph: (262) 827-3636

Reviews and Comments


Physician Assistant Nurses in New Berlin, WI

Ms. Anne E Walz Calvey, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 14555 W National Ave, Suite 165, New Berlin, WI 53151
Phone: 262-827-3636    
Ruth Pena, PA-C
Physician Assistant
Medicare: May Accept Medicare Assignments
Practice Location: 14555 W National Ave, New Berlin, WI 53151
Phone: 262-693-4312    
Cary Wilkins Flanders Duchniak, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 14555 W National Ave, New Berlin, WI 53151
Phone: 708-550-6604    Fax: 414-389-5494
Mrs. Jacqueline K Edwards, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 16505 W National Ave, New Berlin, WI 53151
Phone: 262-641-2300    Fax: 262-641-2311
Erin K Leege, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 14555 W National Ave, New Berlin, WI 53151
Phone: 708-550-6604    
Elizabeth Frantal, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 4855 S Moorland Rd, #150, New Berlin, WI 53151
Phone: 414-425-5660    Fax: 414-425-9803
Amber Frances Bentz,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 14555 W National Ave, New Berlin, WI 53151
Phone: 262-827-3636    Fax: 262-827-3632

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.