| Mrs Mary K Bullock, APRN | |
|
305 Taylor St # 402, Butler, KY 41006-1042 | |
| (731) 394-1145 | |
| Not Available |
| Full Name | Mrs Mary K Bullock |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 305 Taylor St # 402, Butler, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306394937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 3010516 (Kentucky) | Secondary |
| 363L00000X | Nurse Practitioner | 3010516 (Kentucky) | Primary |
| Entity Name | Summit Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508287640 PECOS PAC ID: 2163326240 Enrollment ID: O20031120000738 |
| Entity Name | Ultra Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922469543 PECOS PAC ID: 6800186602 Enrollment ID: O20181109001113 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Mary K Bullock, APRN Po Box 269084, Dept 1102, Oklahoma City, OK 73126 Ph: () - | Mrs Mary K Bullock, APRN 305 Taylor St # 402, Butler, KY 41006-1042 Ph: (731) 394-1145 |
Daniel Raymond Klaber Jr., Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 176 Retreat St, Butler, KY 41006 Phone: 859-472-1540 | |
Mrs. Rebecca Lee Hughes, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 540 Phillip Sharp Rd, Butler, KY 41006 Phone: 859-391-6161 | |
Erika Spaulding, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 79 Country Club Dr, Butler, KY 41006 Phone: 859-654-2283 Fax: 859-654-2284 |