Ms Janet M Bullock, RD is a medicare enrolled "Dietitian, Registered" provider in Waynesboro, Mississippi. Her current practice location is
950 Matthew Dr, Waynesboro, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 735-5151.
Ms Janet M Bullock is licensed to practice in Mississippi (license number D1269) 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 1831483569.
Healthcare Provider's Profile
| Full Name | Ms Janet M Bullock |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 950 Matthew Dr, Waynesboro, Mississippi |
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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: 1831483569
- Provider Enumeration Date: 05/28/2011
- Last Update Date: 05/28/2011
Medicare PECOS Information:
- PECOS PAC ID: 5496924011
- Enrollment ID: I20110816000175
Medical Identifiers
Medical identifiers for Ms Janet M Bullock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831483569 | NPI | - | NPPES |
| D1269 | Other | MS | STATE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | D1269 (Mississippi) | 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. Ms Janet M Bullock allows following entities to bill medicare on her behalf.
| Provider Name | Wayne General Hospital |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1093930638
PECOS PAC ID: 2668457581
Enrollment ID: O20040623000865 |
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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. Ms Janet M 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 |
|---|
Ms Janet M Bullock, RD
950 Matthew Dr,
Waynesboro, MS 39367-2567
Ph: (601) 735-5151 | Ms Janet M Bullock, RD
950 Matthew Dr,
Waynesboro, MS 39367-2567
Ph: (601) 735-5151 |
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