Randi Bullard, DPT in Longville, LA - Medicare Physical Therapist Provider

Randi Bullard, DPT is a medicare enrolled "Physical Therapist" provider in Longville, Louisiana. Her current practice location is 12739 Highway 171 Ste B, Longville, Louisiana. You can reach out to her office (for appointments etc.) via phone at (337) 317-9290.

Randi Bullard is licensed to practice in * (Not Available) (license number ) 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 1750063517.

Contact Information

	Randi Bullard, DPT
	12739 Highway 171 Ste B, Longville, LA 70652-5050
	(337) 317-9290
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Randi Bullard
Gender	Female
Speciality	Physical Therapist
Location	12739 Highway 171 Ste B, Longville, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750063517
Provider Enumeration Date: 08/02/2023
Last Update Date: 04/25/2024

Medicare PECOS Information:

PECOS PAC ID: 8527422914
Enrollment ID: I20230919001834

Medical Identifiers

Medical identifiers for Randi Bullard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750063517	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	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. Randi Bullard allows following entities to bill medicare on her behalf.

Provider Name	Sb Physical Therapy And Sports Rehab
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1619466356 PECOS PAC ID: 2567705163 Enrollment ID: O20200219002104

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. Randi Bullard 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
Randi Bullard, DPT 12739 Highway 171 Ste B, Longville, LA 70652-5050 Ph: (337) 317-9290	Randi Bullard, DPT 12739 Highway 171 Ste B, Longville, LA 70652-5050 Ph: (337) 317-9290

Reviews and Comments

Physical Therapist in Longville, LA

Sb Physical Therapy And Sports Rehab Physical Therapist Medicare: Medicare Enrolled Practice Location: 12739 Highway 171 Ste B, Longville, LA 70652 Phone: 337-317-9290 Fax: 337-725-4457
Mr. Christopher Carl Jackson, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12739 Highway 171 Ste B, Longville, LA 70652 Phone: 337-317-9290 Fax: 337-725-4457

Randi Bullard, DPT - Medicare Physical Therapist in Longville, LA