Ms Lucilyn Ann Bullock, PA-C - Medicare Physician Assistant in Tallmadge, OH

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Ms Lucilyn Ann Bullock, PA-C is a medicare enrolled "Physician Assistant - Medical" in Tallmadge, Ohio. Her current practice location is 60 North Ave, Tallmadge, Ohio. You can reach out to her office (for appointments etc.) via phone at (330) 670-4242.

Ms Lucilyn Ann Bullock is licensed to practice in Ohio (license number 50-000779) 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 1104963552.

Contact Information

Ms Lucilyn Ann Bullock, PA-C
60 North Ave,
Tallmadge, OH 44278-2011
(330) 670-4242
(330) 670-4241

Map and Direction




Provider's Profile

Full NameMs Lucilyn Ann Bullock
GenderFemale
SpecialityPhysician Assistant - Medical
Location60 North Ave, Tallmadge, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104963552
  • Provider Enumeration Date: 02/01/2007
  • Last Update Date: 03/30/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6507921756
  • Enrollment ID: I20090223000283

Medical Identifiers

Medical identifiers for Ms Lucilyn Ann Bullock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104963552NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 50-000779 (Ohio)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. Ms Lucilyn Ann Bullock allows following entities to bill medicare on her behalf.
Entity NamePioneer Physicians Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851354633
PECOS PAC ID: 0648160002
Enrollment ID: O20040722001310
Entity NameSignify Health LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689158487
PECOS PAC ID: 3274895263
Enrollment ID: O20210303002044

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 Lucilyn Ann 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
Ms Lucilyn Ann Bullock, PA-C
60 North Ave,
Tallmadge, OH 44278-2011

Ph: (330) 630-9726		Ms Lucilyn Ann Bullock, PA-C
60 North Ave,
Tallmadge, OH 44278-2011

Ph: (330) 670-4242

Reviews and Comments


Physician Assistant Nurses in Tallmadge, OH

Brandi Podboy,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 60 North Ave, Tallmadge, OH 44278
Phone: 330-630-9726    
Ms. Phyllis Marie Kazimer, P.A.-C.
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 182 East Ave, Tallmadge, OH 44278
Phone: 330-630-9726    
Katie Jo Jankowski-schneckenburger, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 60 North Ave, Tallmadge, OH 44278
Phone: 330-630-9726    
Lauren Elizabeth Manski, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 60 North Ave Ste 200, Tallmadge, OH 44278
Phone: 330-630-9726    
Brent Andrew Clutter, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 145 West Ave, Tallmadge, OH 44278
Phone: 330-633-7090    
Hannah M Loder, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 145 West Ave, Tallmadge, OH 44278
Phone: 330-633-7090    
Mrs. Kelcie Thompson, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 145 West Ave, Tallmadge, OH 44278
Phone: 330-633-7090    Fax: 330-633-8462

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.