Dr Vickie Ann Bulling, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Pueblo, Colorado. Her current practice location is
1600 W 24th St, Pueblo, Colorado. You can reach out to her office (for appointments etc.) via phone at
(719) 546-4876.
Dr Vickie Ann Bulling is licensed to practice in Colorado (license number 3583) 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 1114023215.
Healthcare Provider's Profile
| Full Name | Dr Vickie Ann Bulling |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 1600 W 24th St, Pueblo, Colorado |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1114023215
- Provider Enumeration Date: 09/15/2006
- Last Update Date: 03/31/2015
Medicare PECOS Information:
- PECOS PAC ID: 3173790367
- Enrollment ID: I20120425000653
Medical Identifiers
Medical identifiers for Dr Vickie Ann Bulling such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114023215 | NPI | - | NPPES |
| B7865 | Medicaid | NM | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | NM3156 (New Mexico) | Secondary |
| 103TC0700X | Psychologist - Clinical | 3583 (Colorado) | Primary |
| 103TC0700X | Psychologist - Clinical | 804 (Nebraska) | Secondary |
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 Vickie Ann Bulling allows following entities to bill medicare on her behalf.
| Entity Name | The Mary Lanning Memorial Hospital Association |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760530216
PECOS PAC ID: 4587575550
Enrollment ID: O20031105000492 |
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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 Vickie Ann Bulling 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 |
|---|
Dr Vickie Ann Bulling, PSYD
1600 W 24th St,
Pueblo, CO 81003-1411
Ph: (505) 715-8635 | Dr Vickie Ann Bulling, PSYD
1600 W 24th St,
Pueblo, CO 81003-1411
Ph: (719) 546-4876 |
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