Katrina Kay Bullard, in Palm Desert, CA - Medicare Social Worker Provider

Katrina Kay Bullard, is a medicare enrolled "Social Worker - Clinical" provider in Palm Desert, California. Her current practice location is 37596 College Dr, Unit 101, Palm Desert, California. You can reach out to her office (for appointments etc.) via phone at (760) 774-0409.

Katrina Kay Bullard is licensed to practice in California (license number 68008) 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 1811221823.

Contact Information

	Katrina Kay Bullard,
	37596 College Dr, Unit 101, Palm Desert, CA 92211-2928
	(760) 774-0409
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Katrina Kay Bullard
Gender	Female
Speciality	Social Worker - Clinical
Location	37596 College Dr, Palm Desert, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811221823
Provider Enumeration Date: 09/23/2009
Last Update Date: 12/16/2021

Medicare PECOS Information:

PECOS PAC ID: 7315224193
Enrollment ID: I20170503002669

Medical Identifiers

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

Identifier	Type	State	Issuer
1811221823	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	68008 (California)	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. Katrina Kay Bullard allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Katrina Kay 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
Katrina Kay Bullard, 4647 Zion Ave, Rm 2145, San Diego, CA 92120-2507 Ph: (760) 774-0409	Katrina Kay Bullard, 37596 College Dr, Unit 101, Palm Desert, CA 92211-2928 Ph: (760) 774-0409

Reviews and Comments

Social Worker in Palm Desert, CA

Ms. Heather R Freeman, LCSW #15856 Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 78347 Brookhaven Ln, Palm Desert, CA 92211 Phone: 760-485-2938
Ms. Heidi B Tragesser, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 40880 Avenida Calafia, Palm Desert, CA 92260 Phone: 760-447-4446 Fax: 760-340-4191
Ramona Romero, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 43585 Monterey Ave Ste 1, Palm Desert, CA 92260 Phone: 760-777-7720 Fax: 760-452-8532
Kelly A Ellis, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 39760 Black Mesa Ln, Palm Desert, CA 92260 Phone: 760-832-4904
Susie Ro, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 45445 Portola Ave Ste 1, Palm Desert, CA 92260 Phone: 760-385-3959
Mrs. Teresa Graney, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 72700 Dinah Shore Drive, Palm Desert, CA 92211 Phone: 909-825-7084 Fax: 909-422-3002
Ms. Karen L. Olson, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 74710 Highway 111 Ste 102, Palm Desert, CA 92260 Phone: 760-839-8199

Katrina Kay Bullard, - Medicare Clinical Social Worker in Palm Desert, CA