Dr Mellorya Lynn Wynn Bullard, DC is a medicare enrolled "Chiropractor" provider in Star City, Arkansas. She went to Cleveland Chiropractic College - Kansas City and graduated in 2004 and has 20 years of diverse experience with area of expertise as Chiropractic. Her current practice location is
904 N Drew St, Star City, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(870) 628-3888.
Dr Mellorya Lynn Wynn Bullard is licensed to practice in Arkansas (license number 1640) 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 1962488361.
Healthcare Provider's Profile
| Full Name | Dr Mellorya Lynn Wynn Bullard |
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| Gender | Female |
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| Speciality | Chiropractic |
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| Experience | 20 Years |
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| Location | 904 N Drew St, Star City, Arkansas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Mellorya Lynn Wynn Bullard attended and graduated from Cleveland Chiropractic College - Kansas City in 2004
NPI Data:
- NPI Number: 1962488361
- Provider Enumeration Date: 12/16/2005
- Last Update Date: 09/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 3870545296
- Enrollment ID: I20050323000652
Medical Identifiers
Medical identifiers for Dr Mellorya Lynn Wynn Bullard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1962488361 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 1640 (Arkansas) | 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. Dr Mellorya Lynn Wynn Bullard allows following entities to bill medicare on her behalf.
| Provider Name | Rock City Chiropractic Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1912303975
PECOS PAC ID: 8921320920
Enrollment ID: O20141202001368 |
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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. Dr Mellorya Lynn Wynn 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 |
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Dr Mellorya Lynn Wynn Bullard, DC
904 N Drew St,
Star City, AR 71667-5730
Ph: (501) 231-8296 | Dr Mellorya Lynn Wynn Bullard, DC
904 N Drew St,
Star City, AR 71667-5730
Ph: (870) 628-3888 |
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