Blake A Bullock, LCSW - Medicare Clinical Social Worker in Urbana, IL

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Blake A Bullock, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Urbana, Illinois. His current practice location is 206 Spring Cir, Urbana, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 540-8401.

Blake A Bullock is licensed to practice in Illinois (license number 149.024395) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1295505014.

Contact Information

Blake A Bullock, LCSW
206 Spring Cir,
Urbana, IL 61802-7566
(309) 540-8401
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameBlake A Bullock
GenderMale
SpecialitySocial Worker - Clinical
Location206 Spring Cir, Urbana, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295505014
  • Provider Enumeration Date: 01/03/2024
  • Last Update Date: 01/03/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6204374424
  • Enrollment ID: I20240819001837

Medical Identifiers

Medical identifiers for Blake A Bullock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295505014NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 149.024395 (Illinois)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. Blake A Bullock allows following entities to bill medicare on his behalf.
Entity NameCommunity Health Centers Of The Rutland Region Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336193838
PECOS PAC ID: 2961467386
Enrollment ID: O20041129000357
Entity NameCommunity Health Centers Of The Rutland Region Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073567590
PECOS PAC ID: 2961467386
Enrollment ID: O20041129000784
Entity NameCommunity Health Centers Of The Rutland Region Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104870922
PECOS PAC ID: 2961467386
Enrollment ID: O20050131001023
Entity NameCommunity Health Centers Of The Rutland Region Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467681114
PECOS PAC ID: 2961467386
Enrollment ID: O20100804000784
Entity NameCommunity Health Centers Of The Rutland Region Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780969345
PECOS PAC ID: 2961467386
Enrollment ID: O20120321000420

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. Blake 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 AddressPractice Location Address
Blake A Bullock, LCSW
206 Spring Cir,
Urbana, IL 61802-7566

Ph: (309) 540-8401		Blake A Bullock, LCSW
206 Spring Cir,
Urbana, IL 61802-7566

Ph: (309) 540-8401

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.