Mr Ryan Bullard, LCSW, BCD, PMH-C is a medicare enrolled "Social Worker - Clinical" provider in Crestview, Florida. His current practice location is
128 John King Rd Ste 18, Crestview, Florida. You can reach out to his office (for appointments etc.) via phone at
(850) 347-5457.
Mr Ryan Bullard is licensed to practice in * (Not Available) (license number SW16948) 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 1265072326.
Healthcare Provider's Profile
| Full Name | Mr Ryan Bullard |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 128 John King Rd Ste 18, Crestview, Florida |
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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: 1265072326
- Provider Enumeration Date: 01/07/2020
- Last Update Date: 02/26/2023
Medicare PECOS Information:
- PECOS PAC ID: 1153794573
- Enrollment ID: I20230307000040
Medical Identifiers
Medical identifiers for Mr Ryan Bullard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1265072326 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (Florida) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041S0200X | Social Worker - School | SW16948 (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW16948 (* (Not Available)) | 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 Ryan Bullard allows following entities to bill medicare on his behalf.
| Entity Name | Behealthy Counseling |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235707472
PECOS PAC ID: 0244603660
Enrollment ID: O20230307000016 |
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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. Mr Ryan 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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Mr Ryan Bullard, LCSW, BCD, PMH-C
128 John King Rd Ste 18,
Crestview, FL 32539-5731
Ph: (850) 347-5457 | Mr Ryan Bullard, LCSW, BCD, PMH-C
128 John King Rd Ste 18,
Crestview, FL 32539-5731
Ph: (850) 347-5457 |
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