Mrs Cha-ga Bullock, FNP-BC - Medicare Nurse Practitioner in Evergreen Park, IL

  1. Home
  2. Nurse Practitioner
  3. IL
  4. Evergreen Park
Mrs Cha-ga Bullock, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Evergreen Park, Illinois. Her current practice location is 9858 S Western Ave, Evergreen Park, Illinois. You can reach out to her office (for appointments etc.) via phone at (312) 705-9750.

Mrs Cha-ga Bullock is licensed to practice in Illinois (license number 209027433) 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 1639858319.

Contact Information

Mrs Cha-ga Bullock, FNP-BC
9858 S Western Ave,
Evergreen Park, IL 60805-3200
(312) 705-9750
Not Available

Map and Direction




Provider's Profile

Full NameMrs Cha-ga Bullock
GenderFemale
SpecialityNurse Practitioner - Family
Location9858 S Western Ave, Evergreen Park, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639858319
  • Provider Enumeration Date: 07/11/2023
  • Last Update Date: 06/03/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2264886894
  • Enrollment ID: I20230929001647

Medical Identifiers

Medical identifiers for Mrs Cha-ga Bullock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639858319NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209027433 (Illinois)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. Mrs Cha-ga Bullock allows following entities to bill medicare on her behalf.
Entity NameAdvocate Health And Hospitals Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700824455
PECOS PAC ID: 7810800935
Enrollment ID: O20031106000064
Entity NameOsf Multi-specialty Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922445527
PECOS PAC ID: 3678889789
Enrollment ID: O20150904000279

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. Mrs Cha-ga 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 AddressPractice Location Address
Mrs Cha-ga Bullock, FNP-BC
9858 S Western Ave,
Evergreen Park, IL 60805-3200

Ph: (312) 705-9750		Mrs Cha-ga Bullock, FNP-BC
9858 S Western Ave,
Evergreen Park, IL 60805-3200

Ph: (312) 705-9750

Reviews and Comments


Nurse Practitioner Nurses in Evergreen Park, IL

Mrs. Virginia Morgan, APRN, CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2800 W 95th St # L, Evergreen Park, IL 60805
Phone: 708-422-6200    
Angelika Fiedorowicz, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2955 W 95th St, Evergreen Park, IL 60805
Phone: 331-204-5896    
Kristin Rogers,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3545 W 95th St, Evergreen Park, IL 60805
Phone: 708-346-5562    
Eilish Marie Mulvey,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3545 W 95th St, Evergreen Park, IL 60805
Phone: 708-346-5562    
Mrs. Vanessa Elizabeth Galloway, MSN, APRN, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 9125 S Pulaski Rd, Evergreen Park, IL 60805
Phone: 708-422-7715    
Kunjumol Pullathra Velayudhan, ANP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3650 W 95th St, Evergreen Park, IL 60805
Phone: 708-422-7715    Fax: 708-422-7816
Christine Cho,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2800 W 95th St, Evergreen Park, IL 60805
Phone: 708-229-5002    

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.