Mr Mark Allen Bullock Iv, LCSW, CSAC in Chesterfield, VA

Mr Mark Allen Bullock Iv, LCSW, CSAC is a medicare enrolled "Social Worker - Clinical" provider in Chesterfield, Virginia. His current practice location is 6801 Lucy Corr Ct, Chesterfield, Virginia. You can reach out to his office (for appointments etc.) via phone at (804) 748-1227.

Mr Mark Allen Bullock Iv is licensed to practice in Virginia (license number 0904014366) 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 1134842354.

Contact Information

	Mr Mark Allen Bullock Iv, LCSW, CSAC
	6801 Lucy Corr Ct, Chesterfield, VA 23832-6657
	(804) 748-1227
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Mark Allen Bullock Iv
Gender	Male
Speciality	Social Worker - Clinical
Location	6801 Lucy Corr Ct, Chesterfield, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134842354
Provider Enumeration Date: 09/22/2022
Last Update Date: 09/22/2022

Medicare PECOS Information:

PECOS PAC ID: 4981045846
Enrollment ID: I20240509003584

Medical Identifiers

Medical identifiers for Mr Mark Allen Bullock Iv such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134842354	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	0904014366 (Virginia)	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. Mr Mark Allen Bullock Iv allows following entities to bill medicare on his behalf.

Entity Name	Myspectrum Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174029359 PECOS PAC ID: 5799027843 Enrollment ID: O20190422001369

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. Mr Mark Allen Bullock Iv 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
Mr Mark Allen Bullock Iv, LCSW, CSAC 6801 Lucy Corr Blvd, Chesterfield, VA 23832-6657 Ph: (804) 503-4058	Mr Mark Allen Bullock Iv, LCSW, CSAC 6801 Lucy Corr Ct, Chesterfield, VA 23832-6657 Ph: (804) 748-1227

Reviews and Comments

Social Worker in Chesterfield, VA

Mr. Joel A Imburg, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6801 Lucy Corr Ct, Chesterfield, VA 23832 Phone: 804-748-1227 Fax: 804-717-6659
Amanda Mcwhite, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6801 Lucy Corr Ct, Chesterfield, VA 23832 Phone: 804-748-1227 Fax: 804-717-6659
Mr. Corey Ashton Tolliver Sr., LMHP-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7000 Holridge Ct, Chesterfield, VA 23832 Phone: 804-314-8785
Ms. Kathleen B Sproul, L.C.S.W. Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 6801 Lucy Corr Ct, Chesterfield, VA 23832 Phone: 804-748-1227 Fax: 804-717-6659
Michael B Hartsock, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6801 Lucy Corr Ct, Chesterfield, VA 23832 Phone: 804-748-1223 Fax: 804-318-8041
Caitlyn M Patey, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 9846 Lori Rd Ste 201, Chesterfield, VA 23832 Phone: 804-335-8012
Natalie Carter, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 8003 Gates Bluff Pl, Chesterfield, VA 23832 Phone: 804-840-2191

Mr Mark Allen Bullock Iv, LCSW, CSAC - Medicare Clinical Social Worker in Chesterfield, VA