Stacie Maree Bullock, CRNP in Birmingham, AL - Medicare Nurse Practitioner

Stacie Maree Bullock, CRNP is a medicare enrolled "Nurse Practitioner" in Birmingham, Alabama. She graduated from nursing school in 2010 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Urology Centers Of Alabama, Pc and her current practice location is 3485 Independence Dr, Birmingham, Alabama. You can reach out to her office (for appointments etc.) via phone at (205) 930-0920.

Stacie Maree Bullock is licensed to practice in Alabama (license number 1-110629) 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 1174802565.

Contact Information

	Stacie Maree Bullock, CRNP
	3485 Independence Dr, Birmingham, AL 35209-5603
	(205) 930-0920
	Not Available

Map and Direction

Provider's Profile

Full Name	Stacie Maree Bullock
Gender	Female
Speciality	Nurse Practitioner
Experience	15 Years
Location	3485 Independence Dr, Birmingham, Alabama
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:

Stacie Maree Bullock graduated from nursing school in 2010

NPI Data:

NPI Number: 1174802565
Provider Enumeration Date: 08/16/2011
Last Update Date: 08/11/2023

Medicare PECOS Information:

PECOS PAC ID: 8123299724
Enrollment ID: I20110912000139

Medical Identifiers

Medical identifiers for Stacie Maree Bullock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174802565	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	1-110629 (Alabama)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Grandview Medical Center	Birmingham, AL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Urology Centers Of Alabama, Pc	0941264345	54

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. Stacie Maree Bullock allows following entities to bill medicare on her behalf.

Entity Name	Urology Centers Of Alabama, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710962550 PECOS PAC ID: 0941264345 Enrollment ID: O20041116000389

Entity Name	Baptist Health Centers Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265496236 PECOS PAC ID: 3476457011 Enrollment ID: O20180124001442

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. Stacie Maree 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
Stacie Maree Bullock, CRNP 3485 Independence Dr, Birmingham, AL 35209-5603 Ph: (205) 930-0920	Stacie Maree Bullock, CRNP 3485 Independence Dr, Birmingham, AL 35209-5603 Ph: (205) 930-0920

Reviews and Comments

Nurse Practitioner Nurses in Birmingham, AL

Mrs. April Hooper Weatherly, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 7th Ave S, Birmingham, AL 35233 Phone: 205-939-9175
Miss Leigh Anne Wenzel, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 800 Saint Vincents Dr, Suite500, Birmingham, AL 35205 Phone: 205-933-8334 Fax: 205-271-5681
Ms. Carly Rae Hawkins, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 7th Ave S, Birmingham, AL 35233 Phone: 205-638-9285 Fax: 205-975-1941
Ashlee Brooke Quick, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3729 Mary Taylor Rd, Birmingham, AL 35235 Phone: 205-856-4440 Fax: 205-856-4445
Anyet Belyeu, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1201 11th Ave S, Birmingham, AL 35205 Phone: 205-930-7155 Fax: 205-930-7061
Amy Urban, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 7th Ave S, Lowder Bldg., Suite 618, Birmingham, AL 35233 Phone: 205-638-9918
Jessica Cha, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1717 6th Ave S, Birmingham, AL 35233 Phone: 800-822-8816

Stacie Maree Bullock, CRNP - Medicare Nurse Practitioner in Birmingham, AL