Sheila Diane Bullock, FNP-C | |
305 W Moody St, Poplarville, MS 39470-7338 | |
(601) 795-4543 | |
Not Available |
Full Name | Sheila Diane Bullock |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 305 W Moody St, Poplarville, Mississippi |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366943334 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R48267 (North Dakota) | Secondary |
363LF0000X | Nurse Practitioner - Family | 902510 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lakewood Health Center | Baudette, MN | Hospital |
Trinity Kenmare Community Hospital | Kenmare, ND | Hospital |
Lisbon Area Health Services | Lisbon, ND | Hospital |
Essentia Health Fosston | Fosston, MN | Hospital |
Cooperstown Medical Center | Cooperstown, ND | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lisbon Area Health Services | 4486562873 | 6 |
First Care Medical Services | 3678542842 | 18 |
Lakewood Health Center | 5698687929 | 8 |
Trinity Kenmare Hospital | 9931018777 | 10 |
Entity Name | Trinity Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083653752 PECOS PAC ID: 7911816020 Enrollment ID: O20031106000316 |
Entity Name | Mercy Hospital Of Valley City |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477549111 PECOS PAC ID: 8729997564 Enrollment ID: O20040701000086 |
Entity Name | Trinity Kenmare Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649226671 PECOS PAC ID: 9931018777 Enrollment ID: O20040702000319 |
Entity Name | Carrington Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558389338 PECOS PAC ID: 0547177552 Enrollment ID: O20040810000314 |
Entity Name | Lisbon Area Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811168958 PECOS PAC ID: 4486562873 Enrollment ID: O20041008000975 |
Entity Name | Sanford Health Network North |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366478760 PECOS PAC ID: 8022206663 Enrollment ID: O20171226001068 |
Mailing Address | Practice Location Address |
---|---|
Sheila Diane Bullock, FNP-C 305 W Moody St, Poplarville, MS 39470-7338 Ph: (601) 795-4543 | Sheila Diane Bullock, FNP-C 305 W Moody St, Poplarville, MS 39470-7338 Ph: (601) 795-4543 |
Mr. Martin Wayne Carr, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 46 Joe Reyer Rd, Poplarville, MS 39470 Phone: 601-215-6374 | |
Joseph Anderson, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 307 E Starkey St, Poplarville, MS 39470 Phone: 601-795-5151 | |
Kimberly Philyaw, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 290 Et Poole Rd, Poplarville, MS 39470 Phone: 601-337-0775 | |
Grace P Ford, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 302 Highway 11 S, Poplarville, MS 39470 Phone: 601-403-8283 Fax: 601-403-8283 | |
Mary Edith Denius, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6230 Highway 53, Poplarville, MS 39470 Phone: 601-408-0916 | |
Mrs. Christina L Meador, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1407 S Main St, Poplarville, MS 39470 Phone: 601-795-0659 Fax: 601-795-8639 |