John David Bullock, MD | |
1238 Highway 42, Sumrall, MS 39482 | |
(601) 758-3100 | |
(601) 758-3008 |
Full Name | John David Bullock |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 36 Years |
Location | 1238 Highway 42, Sumrall, Mississippi |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942217757 | NPI | - | NPPES |
00121120 | Medicaid | MS | |
1559122 | Other | MS | AMERICAN ADMIN GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 12095 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Luke Home Health Services | Mccomb, MS | Home health agency |
Forrest General Home Care | Hattiesburg, MS | Home health agency |
Amedisys Home Health Of Collins | Collins, MS | Home health agency |
Forrest General Home Care And Hospice | Hattiesburg, MS | Hospice |
Jefferson Davis General Hospital | Prentiss, MS | Hospital |
Marion General Hospital | Columbia, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hattiesburg Clinic, Pa | 5193706794 | 488 |
Entity Name | Hattiesburg Clinic Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740213446 PECOS PAC ID: 5193706794 Enrollment ID: O20040528000685 |
Mailing Address | Practice Location Address |
---|---|
John David Bullock, MD 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 758-3100 | John David Bullock, MD 1238 Highway 42, Sumrall, MS 39482 Ph: (601) 758-3100 |
William Walker, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Merit Health Medical Group-sumrall, 4891 Hwy 589, Sumrall, MS 39482 Phone: 601-758-4606 Fax: 601-758-4615 | |
Ginger N Pace-herndon, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1016 Highway 42, Sumrall, MS 39482 Phone: 601-758-4215 Fax: 601-758-0614 | |
Brandon L Coleman, D. O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1016 Highway 42, Sumrall, MS 39482 Phone: 601-758-4214 Fax: 601-758-0614 |