Dominique Bultsma, MD in Charleston, SC - Medicare Internal Medicine

Dominique Bultsma, MD is a medicare enrolled "Internal Medicine" physician in Charleston, South Carolina. Her current practice location is 169 Ashley Ave # Msc333, Charleston, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 792-2731.

Dominique Bultsma is licensed to practice in South Carolina (license number LL84222) 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 1033733704.

Contact Information

	Dominique Bultsma, MD
	169 Ashley Ave # Msc333, Charleston, SC 29425-8905
	(843) 792-2731
	Not Available

Map and Direction

Physician's Profile

Full Name	Dominique Bultsma
Gender	Female
Speciality	Internal Medicine
Location	169 Ashley Ave # Msc333, Charleston, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033733704
Provider Enumeration Date: 05/29/2020
Last Update Date: 05/29/2020

Medicare PECOS Information:

PECOS PAC ID: 8729407895
Enrollment ID: I20231107000516

Medical Identifiers

Medical identifiers for Dominique Bultsma such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033733704	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	LL84222 (South Carolina)	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. Dominique Bultsma allows following entities to bill medicare on her behalf.

Entity Name	24 On Physicians Of Sc Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144877655 PECOS PAC ID: 5890127344 Enrollment ID: O20191121001203

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. Dominique Bultsma 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
Dominique Bultsma, MD 169 Ashley Ave # Msc333, Charleston, SC 29425-8905 Ph: (843) 792-2731	Dominique Bultsma, MD 169 Ashley Ave # Msc333, Charleston, SC 29425-8905 Ph: (843) 792-2731

Reviews and Comments

Internal Medicine Doctors in Charleston, SC

Dr. Jeffrey Peter Yourshaw, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 169 Ashley Ave, Room 202 Main Hospital Msc 333, Charleston, SC 29425 Phone: 843-876-4807 Fax: 843-876-4809
Jennifer Lee Martin, D.O. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414
Nikko Rowe Asuncion Tabliago, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 169 Ashley Ave Rm 202, Charleston, SC 29425 Phone: 843-792-2575
Moses K Asempah, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 169 Ashley Avenue, Room 202 Main Hospital Msc333, Charleston, SC 29425 Phone: 717-491-3745
Paige Nicole Laverick, PA-C Internal Medicine Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414
Amit Agrawal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414
Yevgeniy Gelfand, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 67 President St, Charleston, SC 29425 Phone: 843-792-0111

Dominique Bultsma, MD - Medicare Internal Medicine in Charleston, SC