Mrs Gizelle Marie Bullock, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Heuvelton, New York. Her current practice location is
76 Lisbon St, Heuvelton, New York. You can reach out to her office (for appointments etc.) via phone at
(315) 244-0244.
Mrs Gizelle Marie Bullock is licensed to practice in New York (license number 004799) 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 1710245758.
Healthcare Provider's Profile
Full Name | Mrs Gizelle Marie Bullock |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 76 Lisbon St, Heuvelton, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1710245758
- Provider Enumeration Date: 04/27/2012
- Last Update Date: 09/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 8224481080
- Enrollment ID: I20240129000207
Medical Identifiers
Medical identifiers for Mrs Gizelle Marie Bullock such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710245758 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 004799 (New York) | 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. Mrs Gizelle Marie Bullock allows following entities to bill medicare on her behalf.
Entity Name | Citizen Advocates, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1780619064 PECOS PAC ID: 0648241976 Enrollment ID: O20040802001031 |
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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. Mrs Gizelle Marie 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 Address | Practice Location Address |
Mrs Gizelle Marie Bullock, LMHC 76 Lisbon St, Heuvelton, NY 13654-3130 Ph: (315) 244-0244 | Mrs Gizelle Marie Bullock, LMHC 76 Lisbon St, Heuvelton, NY 13654-3130 Ph: (315) 244-0244 |
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