David Shirley Bullock, MD in Mount Vernon, KY

David Shirley Bullock, MD is a medicare enrolled "Family Medicine" physician in Mount Vernon, Kentucky. He went to University Of Kentucky College Of Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Rockcastle Emergency Group, Llc, Rockcastle County Hospital, Inc. and his current practice location is 140 Newcomb Ave, Mount Vernon, Kentucky. You can reach out to his office (for appointments etc.) via phone at (606) 256-5176.

David Shirley Bullock is licensed to practice in Kentucky (license number 39587) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1912058272.

Contact Information

	David Shirley Bullock, MD
	140 Newcomb Ave, Mount Vernon, KY 40456-2728
	(606) 256-5176
	(606) 256-4401

Map and Direction

Physician's Profile

Full Name	David Shirley Bullock
Gender	Male
Speciality	Family Practice
Experience	20 Years
Location	140 Newcomb Ave, Mount Vernon, Kentucky
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

David Shirley Bullock attended and graduated from University Of Kentucky College Of Medicine in 2004

NPI Data:

NPI Number: 1912058272
Provider Enumeration Date: 01/15/2007
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 1557392610
Enrollment ID: I20050829000316

Medical Identifiers

Medical identifiers for David Shirley Bullock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912058272	NPI	-	NPPES
611064744	Other		TAX ID
P00333608	Other		RAIL ROAD MEDICARE
11606348	Other		CAQH
64114101	Medicaid	KY
000000495658	Other		ANTHEM BC BS
1230533	Other		CHA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	39587 (Kentucky)	Primary
207P00000X	Emergency Medicine	39587 (Kentucky)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lifeline Rockcastle Home Health	Mount vernon, KY	Home health agency
Cumberland Valley District Health Dept Hha	Manchester, KY	Home health agency
Hospice Care Plus, Inc	Berea, KY	Hospice
Rockcastle County Hospital, Inc.	Mount vernon, KY	Hospital
Baptist Health Richmond	Richmond, KY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Rockcastle Emergency Group, Llc	3971923814	14
Rockcastle County Hospital, Inc.	6103727433	32

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. David Shirley Bullock allows following entities to bill medicare on his behalf.

Entity Name	Rockcastle County Hospital, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104890714 PECOS PAC ID: 6103727433 Enrollment ID: O20040119000523

Entity Name	Southeastern Emergency Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050302000285

Entity Name	Rockcastle Emergency Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225640154 PECOS PAC ID: 3971923814 Enrollment ID: O20201015000813

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. David Shirley 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
David Shirley Bullock, MD 140 Newcomb Ave, Mount Vernon, KY 40456-2728 Ph: (606) 256-5176	David Shirley Bullock, MD 140 Newcomb Ave, Mount Vernon, KY 40456-2728 Ph: (606) 256-5176

Reviews and Comments

Family Medicine Doctors in Mount Vernon, KY

Jon Anthony Arvin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 116 Progress Dr, Mount Vernon, KY 40456 Phone: 606-256-2143 Fax: 606-256-9762
Thomas W Fowles, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 942 W Main St Unit B, Mount Vernon, KY 40456 Phone: 606-392-2207 Fax: 606-392-2139
Mary Joenborg, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 140 Newcomb Ave, Mount Vernon, KY 40456 Phone: 606-256-2195
George W Griffith, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 140 Newcomb Ave, Mount Vernon, KY 40456 Phone: 606-256-2961 Fax: 606-256-3562
Dr. Michael Kevin Rowe, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 140 Newcomb Ave, Mount Vernon, KY 40456 Phone: 606-256-4148 Fax: 606-256-5191
Angela Richelle Debord Isaacs, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 140 Newcomb Ave, Mount Vernon, KY 40456 Phone: 606-256-5176 Fax: 606-256-5191
Rebecca Dawn Hammond, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 140 Newcomb Ave, Mount Vernon, KY 40456 Phone: 606-256-4148 Fax: 606-256-5191

David Shirley Bullock, MD - Medicare Family Practice in Mount Vernon, KY