Ms Chanel Dominque Bullock, APN, FNP-C in Paragould, AR

Ms Chanel Dominque Bullock, APN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Paragould, Arkansas. She graduated from nursing school in 2017 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ideal Telemedicine Services Llc, Ideal Option Pllc, Ideal Telemedicine Services Llc, Ideal Option Pllc, Ideal Telemedicine Services Llc, Ideal Option Pllc and her current practice location is 2711 W Kingshighway Ste 10, Paragould, Arkansas. You can reach out to her office (for appointments etc.) via phone at (877) 522-1275.

Ms Chanel Dominque Bullock is licensed to practice in Arkansas (license number A005316) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1346752151.

Contact Information

	Ms Chanel Dominque Bullock, APN, FNP-C
	2711 W Kingshighway Ste 10, Paragould, AR 72450-2645
	(877) 522-1275
	(833) 888-7145

Map and Direction

Provider's Profile

Full Name	Ms Chanel Dominque Bullock
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	2711 W Kingshighway Ste 10, Paragould, Arkansas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Chanel Dominque Bullock graduated from nursing school in 2017

NPI Data:

NPI Number: 1346752151
Provider Enumeration Date: 11/02/2017
Last Update Date: 11/12/2024

Medicare PECOS Information:

PECOS PAC ID: 8325307879
Enrollment ID: I20180109001711

Medical Identifiers

Medical identifiers for Ms Chanel Dominque Bullock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346752151	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	A005316 (Arkansas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ideal Telemedicine Services Llc	2860726221	58
Ideal Option Pllc	6709013105	94
Ideal Telemedicine Services Llc	2860726221	58
Ideal Option Pllc	6709013105	94
Ideal Telemedicine Services Llc	2860726221	58
Ideal Option Pllc	6709013105	94

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. Ms Chanel Dominque Bullock allows following entities to bill medicare on her behalf.

Entity Name	Pain Treatment Centers Of America Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841619731 PECOS PAC ID: 2769608819 Enrollment ID: O20140725000128

Entity Name	Ideal Option Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457788275 PECOS PAC ID: 6709013105 Enrollment ID: O20200220002283

Entity Name	Ideal Telemedicine Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346754868 PECOS PAC ID: 2860726221 Enrollment ID: O20200311000756

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. Ms Chanel Dominque 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
Ms Chanel Dominque Bullock, APN, FNP-C 108 N Shackleford Rd, Little Rock, AR 72211-2840 Ph: (844) 215-0731	Ms Chanel Dominque Bullock, APN, FNP-C 2711 W Kingshighway Ste 10, Paragould, AR 72450-2645 Ph: (877) 522-1275

Reviews and Comments

Nurse Practitioner Nurses in Paragould, AR

Susan A Harris, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 801 Goldsmith Rd, Paragould, AR 72450 Phone: 870-236-7782 Fax: 870-236-9610
Jill Allison Brown, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 900 W Kingshighway, Paragould, AR 72450 Phone: 870-239-7000
Allison Smith, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 900 W Kingshighway, Paragould, AR 72450 Phone: 870-239-7000
Lauren Elizabeth Cude, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 165 Greene 7242 Rd, Paragould, AR 72450 Phone: 870-333-5488 Fax: 870-333-5442
Garrett Thomas Wray, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4700 W Kingshighway, Paragould, AR 72450 Phone: 870-936-8000 Fax: 870-240-8833
Cecil Preston Massey, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3501 Carriage Hill Dr Ste B, Paragould, AR 72450 Phone: 870-573-2200 Fax: 870-236-4009
Cathy Louise Young, DNSC, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2700 W Kingshighway, Suite #4, Paragould, AR 72450 Phone: 870-239-3600

Ms Chanel Dominque Bullock, APN, FNP-C - Medicare Nurse Practitioner in Paragould, AR