Traci A Bullock, CRNP in Athens, AL - Medicare Nurse Practitioner

Traci A Bullock, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Athens, Alabama. Her current practice location is 101 Fitness Way Ste 1200, Athens, Alabama. You can reach out to her office (for appointments etc.) via phone at (256) 236-0636.

Traci A Bullock is licensed to practice in Alabama (license number I28281) 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 1124668132.

Contact Information

	Traci A Bullock, CRNP
	101 Fitness Way Ste 1200, Athens, AL 35611-2492
	(256) 236-0636
	(256) 232-1281

Map and Direction

Provider's Profile

Full Name	Traci A Bullock
Gender	Female
Speciality	Nurse Practitioner - Family
Location	101 Fitness Way Ste 1200, Athens, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124668132
Provider Enumeration Date: 01/08/2020
Last Update Date: 01/08/2020

Medicare PECOS Information:

PECOS PAC ID: 8628456100
Enrollment ID: I20220613001661

Medical Identifiers

Medical identifiers for Traci A Bullock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124668132	NPI	-	NPPES
I128481	Other	AL	RN LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	I28281 (Alabama)	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. Traci A Bullock allows following entities to bill medicare on her behalf.

Entity Name	Belinda Maples M.d., P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346318474 PECOS PAC ID: 5496706954 Enrollment ID: O20050202000599

Entity Name	Valley Obstetrics & Womens Pelvic Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487938494 PECOS PAC ID: 3476726480 Enrollment ID: O20111107000581

Entity Name	Elkmont Community Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194207084 PECOS PAC ID: 3870830979 Enrollment ID: O20190128002958

Entity Name	Tanner Community Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134791668 PECOS PAC ID: 0749684728 Enrollment ID: O20210812003362

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. Traci A 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
Traci A Bullock, CRNP 101 Fitness Way Ste 1200, Athens, AL 35611-2492 Ph: (256) 236-0636	Traci A Bullock, CRNP 101 Fitness Way Ste 1200, Athens, AL 35611-2492 Ph: (256) 236-0636

Reviews and Comments

Nurse Practitioner Nurses in Athens, AL

Zachary Andrew Curtis, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 W Market St, Athens, AL 35611 Phone: 256-233-9292
Anne Tate Wilson, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Fitness Way, Suite 1200, Athens, AL 35611 Phone: 256-232-0636 Fax: 256-232-1281
Lindsay Traynom, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22454 Us Highway 72 Ste 200, Athens, AL 35613 Phone: 256-233-2332
Diane Goodman Waits, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 700 W Market St, Athens, AL 35611 Phone: 800-893-9698
April Seay, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7715 Us Highway 72, Athens, AL 35611 Phone: 256-729-9477
Christina C Vail, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 700 W Market St, Athens, AL 35611 Phone: 256-233-9292
Mrs. Marleah Mcanalley, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 W Market St, Athens, AL 35611 Phone: 256-233-9292 Fax: 256-233-9272

Traci A Bullock, CRNP - Medicare Nurse Practitioner in Athens, AL