| Mr Wendell Bart Bullock, PA-C | |
|
104 Burney Dr, Flowood, MS 39232-6621 | |
| (601) 987-8200 | |
| (601) 987-8211 |
| Full Name | Mr Wendell Bart Bullock |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 104 Burney Dr, Flowood, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689807612 | NPI | - | NPPES |
| 03856719 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA00163 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Wendell Bart Bullock, PA-C 104 Burney Dr, Flowood, MS 39232-6621 Ph: (601) 987-8200 | Mr Wendell Bart Bullock, PA-C 104 Burney Dr, Flowood, MS 39232-6621 Ph: (601) 987-8200 |
Kristen Richardson, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 108 Belle Meade Pt, Flowood, MS 39232 Phone: 601-992-7002 | |
Mrs. Leah Jones Calder, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 108 Belle Meade Pt, Flowood, MS 39232 Phone: 601-992-7002 | |
Justin R. Goebel, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 104 Burney Dr, Flowood, MS 39232 Phone: 601-987-8200 Fax: 601-987-8211 | |
Rachel M Sellers, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4436 Mangum Dr, Flowood, MS 39232 Phone: 601-586-7070 Fax: 601-586-7071 | |
Brianna Nicole Watkins, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1040 River Oaks Dr Ste 103, Flowood, MS 39232 Phone: 601-948-6540 | |
Mrs. Shelby Smith King, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 104 Burney Dr, Flowood, MS 39232 Phone: 601-987-8200 | |
Miss Jenna Marie Ainsworth, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1006 Treetops Blvd, Suite 101, Flowood, MS 39232 Phone: 601-939-0005 Fax: 601-936-4949 |