Gina M Bullock, DPM in Portland, OR - Medicare Podiatry Provider

Gina M Bullock, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Portland, Oregon. She went to California School Of Podiatric Medicine and graduated in 1992 and has 32 years of diverse experience with area of expertise as Podiatry. She is a member of the group practice Broadway Foot And Ankle Clinic Pc and her current practice location is 3508 Ne Broadway St, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 282-8777.

Gina M Bullock is licensed to practice in Oregon (license number DP00244) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1255440020.

Contact Information

	Gina M Bullock, DPM
	3508 Ne Broadway St, Portland, OR 97232-1821
	(503) 282-8777
	(503) 282-8853

Map and Direction

Healthcare Provider's Profile

Full Name	Gina M Bullock
Gender	Female
Speciality	Podiatry
Experience	32 Years
Location	3508 Ne Broadway St, Portland, Oregon
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Gina M Bullock attended and graduated from California School Of Podiatric Medicine in 1992

NPI Data:

NPI Number: 1255440020
Provider Enumeration Date: 08/29/2006
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 1557336567
Enrollment ID: I20040901000519

Medical Identifiers

Medical identifiers for Gina M Bullock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255440020	NPI	-	NPPES
083431	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213ES0103X	Podiatrist - Foot & Ankle Surgery	DP00244 (Oregon)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Broadway Foot And Ankle Clinic Pc	3274631841	2

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. Gina M Bullock allows following entities to bill medicare on her behalf.

Provider Name	Broadway Foot & Ankle Clinic Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1457498438 PECOS PAC ID: 3274631841 Enrollment ID: O20070605000305

Provider Name	Hillsboro Foot & Ankle Clinic, Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1790822401 PECOS PAC ID: 6305935578 Enrollment ID: O20071211000502

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. Gina M 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
Gina M Bullock, DPM 3508 Ne Broadway St, Portland, OR 97232-1821 Ph: (503) 282-8777	Gina M Bullock, DPM 3508 Ne Broadway St, Portland, OR 97232-1821 Ph: (503) 282-8777

Reviews and Comments

Podiatrist in Portland, OR

Barnes Foot And Ankle Podiatrist Medicare: Medicare Enrolled Practice Location: 9615 Nw Randall Ln, Portland, OR 97229 Phone: 503-297-2222
Edward Theodore Ysunza Iv, Podiatrist Medicare: Medicare Enrolled Practice Location: 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239 Phone: 503-220-8262
Dr. Brian M. Bowen, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1717 Ne 42nd Ave, Suite 3300, Portland, OR 97213 Phone: 503-284-2000 Fax: 503-284-2002
Town Center Foot Clinic Podiatrist Medicare: Medicare Enrolled Practice Location: 8305 Se Monterey Ave Ste 101, Portland, OR 97266 Phone: 503-652-1121 Fax: 503-652-2193
Ray A Mcclanahan, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 725 Nw 19th Ave, Portland, OR 97209 Phone: 503-243-2699 Fax: 503-243-2698
Portland Foot And Ankle Institute, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 12672 Nw Barnes Rd Ste 100, Portland, OR 97229 Phone: 503-336-0169 Fax: 503-352-4583
Dr. Steven Gary Tillett, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 6274 Sw Capitol Hwy, Portland, OR 97239 Phone: 503-246-2212

Gina M Bullock, DPM - Medicare Podiatrist in Portland, OR